Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $321.58 / $546.39	Facility		$68.97	$321.58	$546.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.11 / $156.11 / $299.64	Professional		$156.11	$156.11	$299.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $128.72 / $128.72	Facility		$128.72	$128.72	$128.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.24 / $223.24 / $223.24	Facility		$223.24	$223.24	$223.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $46.60 / $150.05	Professional		$46.60	$46.60	$150.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.10 / $172.42 / $186.40	Facility		$163.10	$172.42	$186.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $104.85 / $104.85	Professional		$41.94	$104.85	$104.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $172.42 / $223.24	Facility		$128.72	$172.42	$223.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $128.15 / $128.15	Professional		$42.80	$128.15	$128.15
United Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $105.70 / $140.60	Professional		$52.85	$105.70	$140.60