Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.94 / $248.40 / $659.23	Facility		$236.94	$248.40	$659.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.08 / $191.08 / $366.77	Professional		$191.08	$191.08	$366.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.59 / $157.59 / $157.59	Facility		$157.59	$157.59	$157.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $273.24 / $273.24 / $273.24	Facility		$273.24	$273.24	$273.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $57.04 / $183.67	Professional		$57.04	$57.04	$183.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.64 / $211.05 / $228.16	Facility		$199.64	$211.05	$228.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $128.34 / $128.34	Professional		$51.34	$128.34	$128.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.59 / $211.05 / $273.24	Facility		$157.59	$211.05	$273.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $156.86 / $156.86	Professional		$51.34	$156.86	$156.86
United Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $114.08 / $172.10	Professional		$57.04	$114.08	$172.10