Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.39 / $404.48 / $759.29	Facility		$107.39	$404.48	$759.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $118.27 / $118.27	Professional		$44.39	$118.27	$118.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $107.82 / $142.29	Professional		$60.86	$107.82	$142.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $44.20 / $169.13	Facility		$42.38	$44.20	$169.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $116.46 / $248.00	Professional		$97.05	$116.46	$248.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $174.00 / $268.20	Professional		$150.00	$174.00	$268.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.20 / $53.04 / $169.13	Facility		$44.20	$53.04	$169.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $145.19 / $268.20	Professional		$55.01	$145.19	$268.20
United Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $105.45 / $228.96	Professional		$63.67	$105.45	$228.96