Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.42 / $138.53 / $156.52	Facility		$97.42	$138.53	$156.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $177.56 / $195.31	Professional		$77.94	$177.56	$195.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.45 / $111.45 / $111.45	Facility		$111.45	$111.45	$111.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $571.74	Professional		$177.56	$177.56	$571.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.02 / $248.02 / $389.75	Facility		$248.02	$248.02	$389.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $77.94 / $77.94	Professional		$77.94	$77.94	$77.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.45 / $248.02 / $584.63	Facility		$111.45	$248.02	$584.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $174.44 / $192.63	Professional		$74.94	$174.44	$192.63
United Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $155.75 / $186.90	Professional		$155.75	$155.75	$186.90