Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.29 / $300.52 / $1,062.46	Facility		$161.29	$300.52	$1,062.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $180.68 / $305.51	Professional		$136.07	$180.68	$305.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Professional		$164.25	$164.25	$164.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.90 / $305.51 / $427.71	Facility		$165.90	$305.51	$427.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $328.50	Professional		$164.25	$164.25	$328.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.19 / $246.97 / $388.10	Facility		$230.19	$246.97	$388.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.41 / $211.69 / $211.69	Professional		$176.41	$211.69	$211.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $305.51 / $427.71	Facility		$164.25	$305.51	$427.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $182.62 / $211.69	Professional		$164.25	$182.62	$211.69
United Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $246.38 / $492.75	Professional		$174.11	$246.38	$492.75