Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $239.94 / $374.52	Facility		$167.40	$239.94	$374.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $130.05 / $204.50	Professional		$99.59	$130.05	$204.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $143.81 / $290.45	Professional		$68.00	$143.81	$290.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.43 / $204.50 / $286.30	Facility		$133.43	$204.50	$286.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $403.68 / $493.86	Professional		$174.80	$403.68	$493.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $247.23 / $553.50	Professional		$172.80	$247.23	$553.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.50 / $204.50 / $286.30	Facility		$134.50	$204.50	$286.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $218.00 / $439.50	Professional		$107.10	$218.00	$439.50
United Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $169.13 / $395.42	Professional		$104.79	$169.13	$395.42