Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $252.72 / $429.38	Facility		$54.20	$252.72	$429.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.68 / $122.68 / $235.47	Professional		$122.68	$122.68	$235.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.15 / $101.15 / $101.15	Facility		$101.15	$101.15	$101.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.43 / $175.43 / $175.43	Facility		$175.43	$175.43	$175.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $36.61 / $117.92	Professional		$36.61	$36.61	$117.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.16 / $135.49 / $146.47	Facility		$128.16	$135.49	$146.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $82.40 / $82.40	Professional		$32.96	$82.40	$82.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.15 / $135.49 / $175.43	Facility		$101.15	$135.49	$175.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $100.71 / $100.71	Professional		$32.96	$100.71	$100.71
United Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $73.23 / $110.49	Professional		$36.61	$73.23	$110.49