Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $252.73 / $333.73	Facility		$99.83	$252.73	$333.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $143.33 / $237.87	Professional		$108.17	$143.33	$237.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $149.16 / $323.42	Professional		$65.00	$149.16	$323.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.55 / $237.87 / $333.02	Facility		$143.55	$237.87	$333.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.67 / $428.91 / $531.04	Professional		$202.67	$428.91	$531.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $261.95 / $638.58	Professional		$178.00	$261.95	$638.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.72 / $237.87 / $333.02	Facility		$143.72	$237.87	$333.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $235.00 / $464.52	Professional		$130.00	$235.00	$464.52
United Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $235.52 / $443.35	Professional		$80.00	$235.52	$443.35