Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.33 / $355.08 / $847.98	Facility		$225.33	$355.08	$847.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $245.79 / $471.77	Professional		$245.79	$245.79	$471.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.68 / $202.68 / $202.68	Facility		$202.68	$202.68	$202.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $351.48 / $351.48 / $351.48	Facility		$351.48	$351.48	$351.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $236.25	Professional		$73.37	$73.37	$236.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.80 / $282.47 / $394.18	Facility		$256.80	$282.47	$394.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $165.08 / $165.08	Professional		$66.03	$165.08	$165.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.68 / $282.47 / $394.18	Facility		$202.68	$282.47	$394.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $201.77 / $201.77	Professional		$66.03	$201.77	$201.77
United Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $150.88 / $221.37	Professional		$83.37	$150.88	$221.37