Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $776.25 / $1,202.26	Facility		$190.55	$776.25	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $190.55	Professional		$46.77	$87.10	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $380.19	Professional		$125.89	$199.53	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $194.98 / $776.25	Facility		$58.88	$194.98	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $501.19	Professional		$125.89	$263.03	$501.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $489.78	Professional		$181.97	$295.12	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $114.82 / $354.81	Facility		$58.88	$114.82	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $199.53	Professional		$60.26	$107.15	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $229.09 / $416.87	Professional		$75.86	$229.09	$416.87