Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.11 / $136.11 / $136.11	Facility		$136.11	$136.11	$136.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.44 / $247.62 / $306.39	Professional		$239.44	$247.62	$306.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.52 / $159.52 / $159.52	Professional		$159.52	$159.52	$159.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.95 / $247.62 / $354.10	Facility		$56.95	$247.62	$354.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $277.20 / $376.03	Professional		$106.75	$277.20	$376.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $191.40 / $299.20	Professional		$165.00	$191.40	$299.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.95 / $247.62 / $354.10	Facility		$56.95	$247.62	$354.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.13 / $196.50 / $301.05	Professional		$64.13	$196.50	$301.05
United Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $191.43 / $319.05	Professional		$114.27	$191.43	$319.05