Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.84 / $572.78 / $973.18	Facility		$122.84	$572.78	$973.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.05 / $278.05 / $533.69	Professional		$278.05	$278.05	$533.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.29 / $229.29 / $229.29	Facility		$229.29	$229.29	$229.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $397.61 / $397.61 / $397.61	Facility		$397.61	$397.61	$397.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $267.26	Professional		$83.00	$83.00	$267.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.50 / $307.10 / $332.16	Facility		$290.50	$307.10	$332.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $186.75 / $186.75	Professional		$74.70	$186.75	$186.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.29 / $319.55 / $397.61	Facility		$229.29	$319.55	$397.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $228.25 / $228.25	Professional		$74.70	$228.25	$228.25
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $166.00 / $250.43	Professional		$87.98	$166.00	$250.43