Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.50 / $192.50 / $266.98	Facility		$192.50	$192.50	$266.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $166.22 / $452.79	Professional		$62.82	$166.22	$452.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.44 / $222.74 / $419.98	Professional		$163.44	$222.74	$419.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.15 / $326.50 / $633.91	Facility		$73.15	$326.50	$633.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.20 / $293.07 / $588.90	Professional		$168.20	$293.07	$588.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $392.00 / $552.00	Professional		$260.00	$392.00	$552.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.67 / $359.15 / $633.91	Facility		$86.67	$359.15	$633.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $374.30 / $538.20	Professional		$140.25	$374.30	$538.20
United Facility/Professional Professional Modifier Low / Median / High Price $236.60 / $414.05 / $521.54	Professional		$236.60	$414.05	$521.54