Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.98 / $281.26 / $648.00	Facility		$119.98	$281.26	$648.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $70.64 / $200.43	Professional		$27.11	$70.64	$200.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $99.26 / $180.54	Professional		$72.66	$99.26	$180.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $145.90 / $280.60	Facility		$30.34	$145.90	$280.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $126.15 / $253.50	Professional		$70.34	$126.15	$253.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $162.50 / $235.78	Professional		$108.75	$162.50	$235.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $160.49 / $280.60	Facility		$36.04	$160.49	$280.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $160.00 / $232.05	Professional		$61.88	$160.00	$232.05
United Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $185.57 / $233.29	Professional		$106.04	$185.57	$233.29