Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.76 / $242.15 / $411.43	Facility		$145.76	$242.15	$411.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.55 / $117.55 / $117.55	Professional		$117.55	$117.55	$117.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $96.94 / $96.94	Facility		$96.94	$96.94	$96.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.10 / $168.10 / $168.10	Facility		$168.10	$168.10	$168.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $112.99	Professional		$35.09	$35.09	$112.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.82 / $129.83 / $140.36	Facility		$122.82	$129.83	$140.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $78.95 / $78.95	Professional		$31.58	$78.95	$78.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $129.83 / $168.10	Facility		$96.94	$129.83	$168.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.50 / $96.50 / $96.50	Professional		$96.50	$96.50	$96.50
United Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $70.18 / $105.87	Professional		$35.09	$70.18	$105.87