Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.88 / $236.13 / $1,014.71	Facility		$102.88	$236.13	$1,014.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $133.46 / $146.81	Professional		$82.31	$133.46	$146.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Professional		$131.13	$131.13	$131.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.72 / $117.72 / $117.72	Facility		$117.72	$117.72	$117.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $133.47 / $429.77	Professional		$133.47	$133.47	$429.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.70 / $196.70 / $309.10	Facility		$196.70	$196.70	$309.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $82.32 / $100.75	Professional		$82.32	$82.32	$100.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.72 / $196.70 / $463.65	Facility		$117.72	$196.70	$463.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.97 / $131.13 / $144.81	Professional		$81.97	$131.13	$144.81
United Facility/Professional Professional Modifier Low / Median / High Price $117.08 / $117.08 / $140.50	Professional		$117.08	$117.08	$140.50