Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $512.86 / $575.44	Facility		$251.19	$512.86	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $251.19	Professional		$61.66	$100.00	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $380.19	Professional		$147.91	$204.17	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $173.78 / $575.44	Facility		$66.07	$173.78	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $245.47 / $446.68	Professional		$109.65	$245.47	$446.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $501.19	Professional		$218.78	$354.81	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $123.03 / $416.87	Facility		$66.07	$123.03	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $117.49 / $204.17	Professional		$60.26	$117.49	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $316.23 / $467.74	Professional		$79.43	$316.23	$467.74