Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $309.03	Facility		$229.09	$229.09	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $295.12	Professional		$70.79	$107.15	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $457.09	Professional		$190.55	$263.03	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $154.88 / $537.03	Facility		$81.28	$154.88	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $562.34	Professional		$169.82	$323.59	$562.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $602.56	Professional		$251.19	$426.58	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $147.91 / $524.81	Facility		$79.43	$147.91	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $144.54 / $263.03	Professional		$60.26	$144.54	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $363.08 / $562.34	Professional		$100.00	$363.08	$562.34