Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.62 / $403.27 / $739.71	Facility		$104.62	$403.27	$739.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $38.75 / $115.22	Professional		$38.75	$38.75	$115.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.86 / $119.86 / $120.37	Professional		$119.86	$119.86	$120.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.76 / $164.76 / $164.76	Facility		$164.76	$164.76	$164.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $116.46 / $210.00	Professional		$53.20	$116.46	$210.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $160.65 / $219.60	Professional		$140.00	$160.65	$219.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.76 / $164.76 / $164.76	Facility		$164.76	$164.76	$164.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $148.75 / $255.92	Professional		$53.20	$148.75	$255.92
United Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $94.44 / $144.44	Professional		$65.27	$94.44	$144.44