Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.30 / $315.05 / $370.64	Facility		$250.30	$315.05	$370.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $156.22 / $252.04	Professional		$123.48	$156.22	$252.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $150.41 / $394.49	Professional		$65.00	$150.41	$394.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.56 / $266.99 / $373.79	Facility		$163.56	$266.99	$373.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $307.08 / $491.01 / $636.64	Professional		$307.08	$491.01	$636.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.66 / $289.89 / $722.50	Professional		$200.66	$289.89	$722.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.64 / $266.99 / $373.79	Facility		$164.64	$266.99	$373.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.89 / $279.39 / $520.38	Professional		$163.89	$279.39	$520.38
United Facility/Professional Professional Modifier Low / Median / High Price $162.15 / $328.15 / $498.34	Professional		$162.15	$328.15	$498.34