Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $489.78 / $831.76	Facility		$102.33	$489.78	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $229.09	Professional		$54.95	$66.07	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $309.03	Facility		$69.18	$69.18	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $218.78	Professional		$66.07	$69.18	$218.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $251.19 / $281.84	Facility		$69.18	$251.19	$281.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $190.55 / $331.13	Facility		$54.95	$190.55	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $138.04 / $208.93	Professional		$40.74	$138.04	$208.93