Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $131.96 / $466.52	Facility		$69.00	$131.96	$466.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.38 / $123.95 / $167.06	Professional		$72.38	$123.95	$167.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.25 / $177.25 / $177.25	Facility		$177.25	$177.25	$177.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $214.58	Professional		$66.64	$66.64	$214.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.52 / $149.51 / $234.94	Facility		$99.52	$149.51	$234.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.77 / $177.25 / $352.41	Facility		$94.77	$177.25	$352.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $72.30	Professional		$66.64	$66.64	$72.30
United Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $99.96 / $199.92	Professional		$74.64	$99.96	$199.92