Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $670.92 / $1,139.92	Facility		$143.88	$670.92	$1,139.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.69 / $325.69 / $625.13	Professional		$325.69	$325.69	$625.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.56 / $268.56 / $268.56	Facility		$268.56	$268.56	$268.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $465.74 / $465.74 / $465.74	Facility		$465.74	$465.74	$465.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $97.22 / $313.05	Professional		$97.22	$97.22	$313.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.27 / $359.71 / $388.88	Facility		$340.27	$359.71	$388.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $218.75 / $218.75	Professional		$87.50	$218.75	$218.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $268.56 / $359.71 / $465.74	Facility		$268.56	$359.71	$465.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $267.36 / $267.36	Professional		$87.50	$267.36	$267.36
United Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $194.44 / $293.33	Professional		$97.22	$194.44	$293.33