Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.85 / $541.79 / $695.07	Facility		$178.85	$541.79	$695.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $74.81 / $201.86	Professional		$62.34	$74.81	$201.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $108.89 / $206.92	Professional		$71.93	$108.89	$206.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.36 / $196.98 / $281.68	Facility		$73.36	$196.98	$281.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.65 / $173.70 / $313.25	Professional		$122.65	$173.70	$313.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.75 / $266.00 / $397.83	Professional		$223.75	$266.00	$397.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.36 / $196.98 / $275.77	Facility		$73.36	$196.98	$275.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $206.92 / $370.00	Professional		$79.55	$206.92	$370.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $184.01 / $351.77	Professional		$74.48	$184.01	$351.77