Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.59 / $655.53 / $1,113.77	Facility		$140.59	$655.53	$1,113.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.22 / $318.22 / $610.79	Professional		$318.22	$318.22	$610.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.39 / $262.39 / $262.39	Facility		$262.39	$262.39	$262.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $455.05 / $455.05 / $455.05	Facility		$455.05	$455.05	$455.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $94.99 / $305.87	Professional		$94.99	$94.99	$305.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.47 / $351.46 / $379.96	Facility		$332.47	$351.46	$379.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $213.73 / $213.73	Professional		$85.49	$213.73	$213.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.39 / $351.46 / $455.05	Facility		$262.39	$351.46	$455.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $261.22 / $261.22	Professional		$85.49	$261.22	$261.22
United Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $189.98 / $286.60	Professional		$94.99	$189.98	$286.60