Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.41 / $496.44 / $496.44	Facility		$140.41	$496.44	$496.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $87.21 / $141.84	Professional		$84.06	$87.21	$141.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $141.84 / $202.83	Facility		$89.31	$141.84	$202.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.10 / $147.10 / $231.15	Facility		$147.10	$147.10	$231.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $126.08 / $126.08	Professional		$105.07	$126.08	$126.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $141.84 / $210.14	Facility		$89.31	$141.84	$210.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $105.07 / $126.08	Professional		$89.31	$105.07	$126.08
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $131.34 / $262.68	Professional		$87.56	$131.34	$262.68