Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $257.04 / $309.03	Facility		$194.98	$257.04	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $144.54	Professional		$19.95	$39.81	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $257.04	Facility		$43.65	$43.65	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $141.25	Professional		$43.65	$43.65	$141.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $162.18 / $173.78	Facility		$151.36	$162.18	$173.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $120.23 / $208.93	Facility		$34.67	$120.23	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $87.10 / $131.83	Professional		$26.30	$87.10	$131.83