Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.44 / $189.31 / $199.02	Facility		$151.44	$189.31	$199.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $195.83 / $215.41	Professional		$151.44	$195.83	$215.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Professional		$215.17	$215.17	$215.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.31 / $206.31 / $206.31	Facility		$206.31	$206.31	$206.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $192.12 / $192.12	Professional		$54.53	$192.12	$192.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.23 / $307.23 / $482.79	Facility		$307.23	$307.23	$482.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $108.04 / $108.04	Professional		$108.04	$108.04	$108.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.31 / $292.66 / $689.83	Facility		$206.31	$292.66	$689.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $106.36 / $215.17	Professional		$54.53	$106.36	$215.17
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $192.12 / $230.39	Professional		$192.12	$192.12	$230.39