Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.41 / $296.80 / $501.94	Facility		$180.41	$296.80	$501.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.80 / $325.89 / $501.94	Professional		$296.80	$325.89	$501.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.98 / $119.98 / $119.98	Facility		$119.98	$119.98	$119.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.05 / $208.05 / $208.05	Facility		$208.05	$208.05	$208.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $43.43 / $139.84	Professional		$43.43	$43.43	$139.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.01 / $160.69 / $173.72	Facility		$152.01	$160.69	$173.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $97.72 / $97.72	Professional		$39.09	$97.72	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.98 / $160.69 / $173.72	Facility		$119.98	$160.69	$173.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $119.43 / $119.43	Professional		$119.43	$119.43	$119.43
United Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $86.86 / $131.04	Professional		$43.43	$86.86	$131.04