Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $316.23	Professional		$61.66	$79.43	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $97.72 / $436.52	Facility		$72.44	$97.72	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $457.09	Professional		$117.49	$234.42	$457.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $446.68	Professional		$223.87	$288.40	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $316.23 / $446.68	Facility		$93.33	$316.23	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $218.78	Professional		$66.07	$95.50	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $436.52	Professional		$173.78	$177.83	$436.52