Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.24 / $324.35 / $551.08	Facility		$195.24	$324.35	$551.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $157.44 / $157.44	Professional		$157.44	$157.44	$157.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.84 / $129.84 / $129.84	Facility		$129.84	$129.84	$129.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.15 / $225.15 / $225.15	Facility		$225.15	$225.15	$225.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $151.34	Professional		$47.00	$47.00	$151.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.50 / $173.90 / $188.00	Facility		$164.50	$173.90	$188.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $105.75 / $105.75	Professional		$42.30	$105.75	$105.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.84 / $173.90 / $225.15	Facility		$129.84	$173.90	$225.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $129.25 / $129.25	Professional		$129.25	$129.25	$129.25
United Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $94.00 / $141.81	Professional		$47.00	$94.00	$141.81