Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.65 / $146.18 / $516.80	Facility		$82.65	$146.18	$516.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $147.41 / $185.08	Professional		$80.18	$147.41	$185.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.81 / $210.81 / $210.81	Facility		$210.81	$210.81	$210.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $255.22	Professional		$79.26	$79.26	$255.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.43 / $124.32 / $195.36	Facility		$116.43	$124.32	$195.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.59 / $177.60 / $293.04	Facility		$116.59	$177.60	$293.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $85.99	Professional		$79.26	$79.26	$85.99
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $118.89 / $159.88	Professional		$79.26	$118.89	$159.88