Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.02 / $552.14 / $552.14	Facility		$157.02	$552.14	$552.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $127.86 / $358.17	Professional		$59.35	$127.86	$358.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.77 / $183.42 / $324.80	Professional		$134.77	$183.42	$324.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.62 / $266.32 / $501.44	Facility		$68.62	$266.32	$501.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $227.07 / $456.30	Professional		$133.43	$227.07	$456.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.25 / $310.50 / $448.00	Professional		$206.25	$310.50	$448.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.62 / $292.95 / $501.44	Facility		$68.62	$292.95	$501.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $299.02 / $436.80	Professional		$112.00	$299.02	$436.80
United Facility/Professional Professional Modifier Low / Median / High Price $193.54 / $338.70 / $425.79	Professional		$193.54	$338.70	$425.79