Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.19 / $484.40 / $803.20	Facility		$200.19	$484.40	$803.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $241.93 / $407.41	Professional		$45.25	$241.93	$407.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $167.50 / $309.92	Professional		$120.80	$167.50	$309.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.14 / $241.93 / $475.31	Facility		$53.14	$241.93	$475.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.93 / $219.30 / $440.70	Professional		$122.93	$219.30	$440.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $284.00 / $410.00	Professional		$190.00	$284.00	$410.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.04 / $266.12 / $475.31	Facility		$62.04	$266.12	$475.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.50 / $272.52 / $401.70	Professional		$105.50	$272.52	$401.70
United Facility/Professional Professional Modifier Low / Median / High Price $178.70 / $357.40 / $388.55	Professional		$178.70	$357.40	$388.55