Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.82 / $238.61 / $843.57	Facility		$140.82	$238.61	$843.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $240.83 / $320.70	Professional		$130.87	$240.83	$320.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.39 / $344.39 / $344.39	Facility		$344.39	$344.39	$344.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $416.93	Professional		$129.47	$129.47	$416.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.24 / $206.05 / $323.80	Facility		$194.24	$206.05	$323.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.29 / $294.36 / $485.69	Facility		$192.29	$294.36	$485.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $140.47	Professional		$129.47	$129.47	$140.47
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $194.22 / $261.19	Professional		$129.47	$194.22	$261.19