Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.59 / $151.68 / $536.24	Facility		$102.59	$151.68	$536.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $129.69 / $192.03	Professional		$129.69	$129.69	$192.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Professional		$69.73	$69.73	$95.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $73.20 / $73.20	Facility		$73.20	$73.20	$73.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $174.33	Professional		$69.73	$69.73	$174.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.38 / $157.50 / $247.50	Facility		$93.38	$157.50	$247.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $123.75 / $135.00	Professional		$93.38	$123.75	$135.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $73.20 / $185.46	Facility		$73.20	$73.20	$185.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $75.65 / $123.75	Professional		$69.73	$75.65	$123.75
United Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $104.60 / $209.19	Professional		$97.62	$104.60	$209.19