Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $147.91 / $512.86	Facility		$97.72	$147.91	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $144.54	Professional		$34.67	$41.69	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $194.98	Facility		$43.65	$43.65	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $141.25	Professional		$43.65	$43.65	$141.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $169.82 / $281.84	Facility		$43.65	$169.82	$281.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $120.23 / $208.93	Facility		$34.67	$120.23	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $87.10 / $131.83	Professional		$26.30	$87.10	$131.83