Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $201.24 / $711.45	Facility		$0.05	$201.24	$711.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $119.31 / $254.76	Professional		$108.46	$119.31	$254.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $133.03	Professional		$108.47	$108.47	$133.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.55 / $201.75 / $288.50	Facility		$109.55	$201.75	$288.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $244.06	Professional		$108.47	$108.47	$244.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.36 / $268.93 / $422.60	Facility		$205.36	$268.93	$422.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.09 / $230.51 / $230.51	Professional		$192.09	$230.51	$230.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $201.75 / $384.18	Facility		$108.47	$201.75	$384.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $159.69 / $230.51	Professional		$108.47	$159.69	$230.51
United Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $162.71 / $325.41	Professional		$114.98	$162.71	$325.41