Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $114.44 / $404.60	Facility		$114.44	$114.44	$404.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $62.77 / $114.94	Professional		$61.79	$62.77	$114.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.36 / $164.36 / $164.36	Facility		$164.36	$164.36	$164.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $199.00	Professional		$61.80	$61.80	$199.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.39 / $391.08 / $614.54	Facility		$255.39	$391.08	$614.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.36 / $391.08 / $921.82	Facility		$164.36	$391.08	$921.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $67.05	Professional		$61.80	$61.80	$67.05
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $92.70 / $124.66	Professional		$61.80	$92.70	$124.66