Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.72 / $279.16 / $382.71	Facility		$155.72	$279.16	$382.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $219.81 / $241.80	Professional		$124.59	$219.81	$241.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.59 / $178.59 / $178.59	Facility		$178.59	$178.59	$178.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $215.51 / $215.51	Professional		$215.51	$215.51	$215.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.46 / $332.46 / $522.42	Facility		$332.46	$332.46	$522.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.89 / $124.89 / $124.89	Professional		$124.89	$124.89	$124.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.59 / $332.46 / $783.65	Facility		$178.59	$332.46	$783.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $120.93 / $241.37	Professional		$120.93	$120.93	$241.37
United Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $219.21 / $258.61	Professional		$215.51	$219.21	$258.61