Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $478.63 / $478.63	Facility		$87.10	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $89.13	Professional		$72.44	$74.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $89.13 / $181.97	Facility		$74.13	$89.13	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $181.97	Professional		$74.13	$91.20	$181.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $173.78 / $275.42	Facility		$74.13	$173.78	$275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $147.91	Professional		$125.89	$147.91	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $93.33 / $144.54	Facility		$70.79	$93.33	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $104.71	Professional		$74.13	$74.13	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $204.17	Professional		$74.13	$109.65	$204.17