Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $436.52 / $758.58	Facility		$91.20	$436.52	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $204.17	Professional		$48.98	$58.88	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $275.42	Facility		$61.66	$61.66	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $199.53	Professional		$61.66	$61.66	$199.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $229.09 / $245.47	Facility		$61.66	$229.09	$245.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $169.82 / $295.12	Facility		$48.98	$169.82	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $123.03 / $186.21	Professional		$37.15	$123.03	$186.21