Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $954.99 / $954.99	Facility		$144.54	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $275.42	Professional		$147.91	$147.91	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $478.63	Professional		$147.91	$147.91	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $229.09 / $354.81	Facility		$147.91	$229.09	$354.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $389.05	Facility		$275.42	$275.42	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $147.91 / $158.49	Professional		$60.26	$147.91	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $295.12	Professional		$147.91	$223.87	$295.12