Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.65 / $233.67 / $397.01	Facility		$140.65	$233.67	$397.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $113.43 / $113.43	Professional		$113.43	$113.43	$113.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $93.54 / $93.54	Facility		$93.54	$93.54	$93.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $162.19 / $162.19	Facility		$162.19	$162.19	$162.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $33.86 / $109.03	Professional		$30.47	$33.86	$109.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.51 / $125.28 / $135.44	Facility		$118.51	$125.28	$135.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $76.19 / $76.19	Professional		$30.47	$76.19	$76.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $125.28 / $162.19	Facility		$93.54	$125.28	$162.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $93.12 / $93.12	Professional		$30.47	$93.12	$93.12
United Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $67.72 / $102.16	Professional		$33.86	$67.72	$102.16