Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.54 / $608.66 / $1,034.15	Facility		$130.54	$608.66	$1,034.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.47 / $295.47 / $567.13	Professional		$295.47	$295.47	$567.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.65 / $243.65 / $243.65	Facility		$243.65	$243.65	$243.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $422.52 / $422.52 / $422.52	Facility		$422.52	$422.52	$422.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $88.20 / $284.00	Professional		$88.20	$88.20	$284.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.70 / $326.33 / $352.80	Facility		$308.70	$326.33	$352.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $198.45 / $198.45	Professional		$79.38	$198.45	$198.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.65 / $326.33 / $422.52	Facility		$243.65	$326.33	$422.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $242.55 / $242.55	Professional		$79.38	$242.55	$242.55
United Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $176.40 / $266.12	Professional		$88.20	$176.40	$266.12