Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $251.19	Facility		$144.54	$144.54	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $229.09	Professional		$51.29	$97.72	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $269.15	Professional		$158.49	$158.49	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $109.65 / $398.11	Facility		$54.95	$109.65	$398.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $263.03 / $562.34	Professional		$112.20	$263.03	$562.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $478.63	Professional		$199.53	$309.03	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $229.09 / $562.34	Facility		$97.72	$229.09	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $269.15	Professional		$45.71	$66.07	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $467.74	Professional		$123.03	$208.93	$467.74