Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.58 / $125.58 / $233.88	Facility		$125.58	$125.58	$233.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $212.97 / $396.67	Professional		$39.64	$212.97	$396.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $185.15 / $371.66	Professional		$107.42	$185.15	$371.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.10 / $212.97 / $555.34	Facility		$49.10	$212.97	$555.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $219.15 / $528.01	Professional		$107.55	$219.15	$528.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.25 / $262.00 / $490.00	Professional		$166.25	$262.00	$490.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $234.27 / $555.34	Facility		$54.67	$234.27	$555.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $256.00 / $481.65	Professional		$107.42	$256.00	$481.65
United Facility/Professional Professional Modifier Low / Median / High Price $206.52 / $361.41 / $454.34	Professional		$206.52	$361.41	$454.34