Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.39 / $342.23 / $581.46	Facility		$73.39	$342.23	$581.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $166.13 / $318.86	Professional		$166.13	$166.13	$318.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.97 / $136.97 / $136.97	Facility		$136.97	$136.97	$136.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $237.57 / $237.57 / $237.57	Facility		$237.57	$237.57	$237.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $49.59 / $159.68	Professional		$49.59	$49.59	$159.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.57 / $190.92 / $319.86	Facility		$173.57	$190.92	$319.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $111.58 / $111.58	Professional		$44.63	$111.58	$111.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.97 / $190.92 / $319.86	Facility		$136.97	$190.92	$319.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $136.37 / $136.37	Professional		$49.59	$136.37	$136.37
United Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $149.62 / $149.62	Professional		$67.65	$149.62	$149.62