Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $147.91 / $977.24	Facility		$117.49	$147.91	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $234.42	Professional		$40.74	$57.54	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $117.49 / $977.24	Facility		$53.70	$117.49	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $331.13	Professional		$112.20	$144.54	$331.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $295.12	Professional		$154.88	$186.21	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $239.88 / $338.84	Facility		$69.18	$239.88	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $169.82	Professional		$48.98	$60.26	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $371.54	Professional		$128.82	$134.90	$371.54