Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.57 / $403.64 / $685.79	Facility		$86.57	$403.64	$685.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $195.94 / $376.09	Professional		$195.94	$195.94	$376.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.59 / $161.59 / $161.59	Facility		$161.59	$161.59	$161.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $280.19 / $280.19 / $280.19	Facility		$280.19	$280.19	$280.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $58.49 / $188.34	Professional		$58.49	$58.49	$188.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.72 / $216.41 / $233.96	Facility		$204.72	$216.41	$233.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $131.60 / $131.60	Professional		$52.64	$131.60	$131.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.59 / $216.41 / $280.19	Facility		$161.59	$216.41	$280.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $160.85 / $160.85	Professional		$52.64	$160.85	$160.85
United Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $116.98 / $176.48	Professional		$58.49	$116.98	$176.48