Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.34 / $258.58 / $914.17	Facility		$148.34	$258.58	$914.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $262.24 / $327.38	Professional		$141.83	$262.24	$327.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $453.99	Professional		$140.99	$140.99	$453.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.02 / $243.94 / $383.33	Facility		$206.02	$243.94	$383.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.33 / $348.48 / $574.99	Facility		$211.33	$348.48	$574.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $152.96	Professional		$140.99	$140.99	$152.96
United Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $211.49 / $422.97	Professional		$156.94	$211.49	$422.97