Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.54 / $164.62 / $253.54	Facility		$95.54	$164.62	$253.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $157.91	Professional		$73.48	$73.48	$157.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.18 / $194.18 / $194.18	Facility		$194.18	$194.18	$194.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.09 / $105.09 / $105.09	Facility		$105.09	$105.09	$105.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $210.87 / $316.31	Professional		$70.29	$210.87	$316.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.57 / $222.57 / $222.57	Facility		$222.57	$222.57	$222.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $158.15 / $158.15	Professional		$63.26	$158.15	$158.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.09 / $194.18 / $222.57	Facility		$105.09	$194.18	$222.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.87 / $174.87 / $174.87	Professional		$174.87	$174.87	$174.87
United Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $182.56 / $276.35	Professional		$30.95	$182.56	$276.35