Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.72 / $104.72 / $250.25	Facility		$104.72	$104.72	$250.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $172.98 / $413.41	Professional		$31.25	$172.98	$413.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $147.63 / $398.27	Professional		$91.05	$147.63	$398.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $190.28 / $578.77	Facility		$43.69	$190.28	$578.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.58 / $221.58 / $534.29	Professional		$94.58	$221.58	$534.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $232.30 / $651.70	Professional		$128.75	$232.30	$651.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $190.28 / $578.77	Facility		$43.69	$190.28	$578.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.06 / $212.10 / $651.70	Professional		$111.06	$212.10	$651.70
United Facility/Professional Professional Modifier Low / Median / High Price $235.80 / $355.73 / $536.45	Professional		$235.80	$355.73	$536.45