Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $263.03 / $416.87	Facility		$147.91	$263.03	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $112.20	Professional		$26.92	$30.90	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $245.47	Facility		$33.88	$33.88	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $109.65	Professional		$32.36	$60.26	$109.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $125.89 / $134.90	Facility		$117.49	$125.89	$134.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $93.33 / $162.18	Facility		$26.92	$93.33	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $60.26	Professional		$30.20	$30.20	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $67.61 / $102.33	Professional		$20.42	$67.61	$102.33