Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $309.03 / $758.58	Facility		$165.96	$309.03	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $218.78	Professional		$52.48	$63.10	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $316.23	Facility		$66.07	$66.07	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $208.93	Professional		$66.07	$66.07	$208.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $251.19 / $416.87	Facility		$66.07	$251.19	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $181.97 / $316.23	Facility		$52.48	$181.97	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $131.83 / $194.98	Professional		$38.90	$131.83	$194.98