Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $338.84 / $602.56	Facility		$190.55	$338.84	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $102.33 / $288.40	Professional		$36.31	$102.33	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $309.03	Professional		$131.83	$131.83	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $234.42 / $575.44	Facility		$52.48	$234.42	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $165.96 / $309.03	Professional		$67.61	$165.96	$309.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $416.87	Professional		$112.20	$204.17	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $93.33 / $467.74	Facility		$29.51	$93.33	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $309.03	Professional		$53.70	$93.33	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $147.91 / $245.47	Professional		$60.26	$147.91	$245.47