Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.87 / $411.00 / $631.57	Facility		$212.87	$411.00	$631.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.06 / $220.06 / $422.39	Professional		$220.06	$220.06	$422.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.48 / $181.48 / $181.48	Facility		$181.48	$181.48	$181.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $314.69 / $314.69 / $314.69	Facility		$314.69	$314.69	$314.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $65.69 / $211.52	Professional		$65.69	$65.69	$211.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.92 / $252.91 / $317.39	Facility		$229.92	$252.91	$317.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $147.80 / $147.80	Professional		$59.12	$147.80	$147.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.48 / $252.91 / $317.39	Facility		$181.48	$252.91	$317.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $180.65 / $180.65	Professional		$59.12	$180.65	$180.65
United Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $131.38 / $198.20	Professional		$67.13	$131.38	$198.20