Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.93 / $313.58 / $318.67	Facility		$254.93	$313.58	$318.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $169.96 / $254.94	Professional		$151.33	$169.96	$254.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $364.56 / $364.56 / $364.56	Facility		$364.56	$364.56	$364.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $166.75 / $166.75	Professional		$70.48	$166.75	$166.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.14 / $264.14 / $415.07	Facility		$264.14	$264.14	$415.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $248.25 / $248.25	Professional		$248.25	$248.25	$248.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.24 / $364.56 / $622.61	Facility		$249.24	$364.56	$622.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $186.76 / $248.25	Professional		$70.48	$186.76	$248.25
United Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $166.75 / $199.95	Professional		$166.75	$166.75	$199.95