Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $338.84 / $575.44	Facility		$69.18	$338.84	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $158.49	Professional		$38.02	$44.67	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $213.80	Facility		$46.77	$46.77	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $151.36	Professional		$46.77	$46.77	$151.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $173.78 / $186.21	Facility		$46.77	$173.78	$186.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $128.82 / $223.87	Facility		$38.02	$128.82	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $93.33 / $141.25	Professional		$28.18	$93.33	$141.25