Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.99 / $476.25 / $777.74	Facility		$219.99	$476.25	$777.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $120.66 / $957.06	Professional		$47.12	$120.66	$957.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.38 / $67.38 / $67.38	Facility		$67.38	$67.38	$67.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $81.56	Professional		$25.33	$25.33	$81.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $73.98 / $116.27	Facility		$55.97	$73.98	$116.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.38 / $107.68 / $192.32	Facility		$67.38	$107.68	$192.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $27.49	Professional		$25.33	$25.33	$27.49
United Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $38.00 / $75.98	Professional		$28.20	$38.00	$75.98