Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.15 / $355.06 / $603.26	Facility		$76.15	$355.06	$603.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.36 / $172.36 / $330.82	Professional		$172.36	$172.36	$330.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.12 / $142.12 / $142.12	Facility		$142.12	$142.12	$142.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $246.47 / $246.47 / $246.47	Facility		$246.47	$246.47	$246.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $165.67	Professional		$51.45	$51.45	$165.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.08 / $190.37 / $205.80	Facility		$180.08	$190.37	$205.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $115.76 / $115.76	Professional		$46.31	$115.76	$115.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.12 / $190.37 / $246.47	Facility		$142.12	$190.37	$246.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $141.49 / $141.49	Professional		$46.31	$141.49	$141.49
United Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $102.90 / $155.24	Professional		$51.45	$102.90	$155.24