Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.29 / $127.03 / $657.05	Facility		$73.29	$127.03	$657.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $86.50 / $107.97	Professional		$56.45	$86.50	$107.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.56 / $92.56 / $92.56	Facility		$92.56	$92.56	$92.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $316.08	Professional		$98.16	$98.16	$316.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.05 / $123.05 / $193.36	Facility		$123.05	$123.05	$193.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $64.73 / $64.73	Professional		$64.73	$64.73	$64.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.56 / $108.16 / $254.96	Facility		$92.56	$108.16	$254.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $96.58 / $106.49	Professional		$62.27	$96.58	$106.49
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $86.23 / $103.33	Professional		$86.23	$86.23	$103.33