Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $151.36 / $446.68	Facility		$81.28	$151.36	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $223.87	Professional		$109.65	$151.36	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $323.59	Professional		$64.57	$131.83	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $169.82 / $269.15	Facility		$138.04	$169.82	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $524.81	Professional		$120.23	$229.09	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $562.34	Professional		$186.21	$281.84	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $275.42	Facility		$138.04	$173.78	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $158.49 / $436.52	Professional		$64.57	$158.49	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $691.83	Professional		$138.04	$275.42	$691.83