Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.51 / $142.51 / $221.19	Facility		$142.51	$142.51	$221.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $229.76 / $356.64	Professional		$52.49	$229.76	$356.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.20 / $165.20 / $229.76	Professional		$165.20	$165.20	$229.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.46 / $321.66 / $499.30	Facility		$59.46	$321.66	$499.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.79 / $298.20 / $511.01	Professional		$137.79	$298.20	$511.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.35 / $290.00 / $388.65	Professional		$190.35	$290.00	$388.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.46 / $321.66 / $499.30	Facility		$59.46	$321.66	$499.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $248.40 / $388.65	Professional		$96.73	$248.40	$388.65
United Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $275.70 / $366.57	Professional		$159.38	$275.70	$366.57