Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $229.09	Professional		$138.04	$144.54	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $323.59 / $794.33	Facility		$229.09	$323.59	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $229.09	Professional		$60.26	$134.90	$229.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $371.54	Facility		$234.42	$234.42	$371.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $323.59	Facility		$229.09	$229.09	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $144.54	Professional		$60.26	$60.26	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $208.93 / $281.84	Professional		$2.34	$208.93	$281.84