Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.16 / $144.37 / $979.02	Facility		$117.16	$144.37	$979.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $237.22 / $258.20	Professional		$93.93	$237.22	$258.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.25 / $170.25 / $170.25	Professional		$170.25	$170.25	$170.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.24 / $237.22 / $339.22	Facility		$60.24	$237.22	$339.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $315.00 / $395.14	Professional		$121.30	$315.00	$395.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $217.50 / $323.39	Professional		$156.44	$217.50	$323.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.24 / $237.22 / $339.22	Facility		$60.24	$237.22	$339.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $186.25 / $325.58	Professional		$69.34	$186.25	$325.58
United Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $136.19 / $380.52	Professional		$128.88	$136.19	$380.52