Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $354.81 / $851.14	Facility		$223.87	$354.81	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $245.47	Professional		$58.88	$70.79	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $354.81	Facility		$74.13	$74.13	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $234.42	Professional		$66.07	$74.13	$234.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $281.84 / $398.11	Facility		$74.13	$281.84	$398.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $204.17 / $354.81	Facility		$58.88	$204.17	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $147.91 / $223.87	Professional		$43.65	$147.91	$223.87