Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.45 / $473.06 / $803.74	Facility		$101.45	$473.06	$803.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.64 / $229.64 / $440.78	Professional		$229.64	$229.64	$440.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $189.38 / $189.38	Facility		$189.38	$189.38	$189.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $328.39 / $328.39 / $328.39	Facility		$328.39	$328.39	$328.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $68.55 / $220.73	Professional		$68.55	$68.55	$220.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.84 / $253.64 / $281.56	Facility		$237.84	$253.64	$281.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $154.24 / $154.24	Professional		$61.70	$154.24	$154.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $253.64 / $328.39	Facility		$189.38	$253.64	$328.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $188.51 / $188.51	Professional		$61.70	$188.51	$188.51
United Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $137.10 / $206.83	Professional		$59.55	$137.10	$206.83