Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.45 / $165.28 / $220.36	Facility		$95.45	$165.28	$220.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $108.45 / $161.53	Professional		$82.05	$108.45	$161.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $105.06 / $279.05	Professional		$70.00	$105.06	$279.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.14 / $166.38 / $226.14	Facility		$109.14	$166.38	$226.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.62 / $327.99 / $386.29	Professional		$165.62	$327.99	$386.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $209.30 / $475.00	Professional		$138.60	$209.30	$475.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.14 / $167.95 / $226.14	Facility		$109.14	$167.95	$226.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $186.34 / $388.08	Professional		$102.41	$186.34	$388.08
United Facility/Professional Professional Modifier Low / Median / High Price $116.57 / $303.39 / $508.55	Professional		$116.57	$303.39	$508.55