Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.41 / $252.47 / $928.55	Facility		$208.41	$252.47	$928.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $107.21 / $278.06	Professional		$87.59	$107.21	$278.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $153.18 / $292.56	Professional		$97.31	$153.18	$292.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $278.06 / $397.63	Facility		$103.37	$278.06	$397.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $209.45 / $251.34 / $533.79	Professional		$209.45	$251.34	$533.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.75 / $383.60 / $532.00	Professional		$323.75	$383.60	$532.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.78 / $278.06 / $397.63	Facility		$105.78	$278.06	$397.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $292.56 / $518.00	Professional		$115.10	$292.56	$518.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $265.99 / $497.34	Professional		$95.87	$265.99	$497.34