Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.56 / $143.56 / $143.56	Facility		$143.56	$143.56	$143.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.63 / $261.20 / $324.07	Professional		$253.63	$261.20	$324.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $168.90 / $168.90	Professional		$168.90	$168.90	$168.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $261.20 / $373.52	Facility		$60.46	$261.20	$373.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $296.10 / $395.53	Professional		$114.03	$296.10	$395.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.25 / $204.45 / $316.80	Professional		$176.25	$204.45	$316.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $261.20 / $373.52	Facility		$60.46	$261.20	$373.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $208.50 / $318.89	Professional		$67.93	$208.50	$318.89
United Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $202.68 / $337.80	Professional		$120.28	$202.68	$337.80