Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.46 / $360.30 / $723.60	Facility		$192.46	$360.30	$723.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.46 / $312.89 / $344.18	Professional		$192.46	$312.89	$344.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $264.68 / $264.68 / $264.68	Facility		$264.68	$264.68	$264.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $312.89 / $1,007.54	Professional		$312.89	$312.89	$1,007.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.28 / $439.28 / $690.29	Facility		$439.28	$439.28	$690.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.16 / $181.16 / $181.16	Professional		$181.16	$181.16	$181.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.68 / $439.28 / $1,035.44	Facility		$264.68	$439.28	$1,035.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.84 / $307.55 / $339.47	Professional		$176.84	$307.55	$339.47
United Facility/Professional Professional Modifier Low / Median / High Price $274.60 / $274.60 / $334.54	Professional		$274.60	$274.60	$334.54