Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.18 / $271.27 / $460.92	Facility		$58.18	$271.27	$460.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $131.69 / $252.76	Professional		$131.69	$131.69	$252.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.59 / $108.59 / $108.59	Facility		$108.59	$108.59	$108.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.32 / $188.32 / $188.32	Facility		$188.32	$188.32	$188.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $126.58	Professional		$39.31	$39.31	$126.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.59 / $145.44 / $157.24	Facility		$137.59	$145.44	$157.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $88.45 / $88.45	Professional		$35.38	$88.45	$88.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.59 / $145.44 / $188.32	Facility		$108.59	$145.44	$188.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $108.10 / $108.10	Professional		$35.38	$108.10	$108.10
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $78.62 / $118.61	Professional		$39.31	$78.62	$118.61