Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.93 / $326.08 / $554.02	Facility		$69.93	$326.08	$554.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.29 / $158.29 / $303.82	Professional		$158.29	$158.29	$303.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.52 / $130.52 / $130.52	Facility		$130.52	$130.52	$130.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.35 / $226.35 / $226.35	Facility		$226.35	$226.35	$226.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $152.15	Professional		$47.25	$47.25	$152.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.38 / $174.83 / $189.00	Facility		$165.38	$174.83	$189.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $106.31 / $106.31	Professional		$42.53	$106.31	$106.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.52 / $174.83 / $226.35	Facility		$130.52	$174.83	$226.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $129.94 / $129.94	Professional		$42.53	$129.94	$129.94
United Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $94.50 / $142.56	Professional		$47.25	$94.50	$142.56