Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $239.40 / $290.74	Facility		$77.81	$239.40	$290.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $134.83 / $148.31	Professional		$77.81	$134.83	$148.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.27 / $111.27 / $111.27	Facility		$111.27	$111.27	$111.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $132.43 / $132.43	Professional		$68.16	$132.43	$132.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.60 / $211.60 / $332.51	Facility		$211.60	$211.60	$332.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $77.81 / $242.50	Professional		$77.81	$77.81	$242.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.27 / $211.60 / $498.76	Facility		$111.27	$211.60	$498.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $97.38 / $242.50	Professional		$68.16	$97.38	$242.50
United Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $134.71 / $158.62	Professional		$132.43	$134.71	$158.62