Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.50 / $326.10 / $585.50	Facility		$193.50	$326.10	$585.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.20 / $169.22	Professional		$52.48	$83.20	$169.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.90 / $178.90 / $178.90	Facility		$178.90	$178.90	$178.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $77.97 / $269.70	Professional		$67.08	$77.97	$269.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $117.92 / $169.22	Facility		$30.64	$117.92	$169.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $211.28 / $245.68	Professional		$107.31	$211.28	$245.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.95 / $125.95 / $3,495.87	Facility		$125.95	$125.95	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $155.40 / $333.00	Professional		$119.13	$155.40	$333.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $178.90 / $3,495.87	Facility		$123.75	$178.90	$3,495.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $145.60 / $289.89	Professional		$101.25	$145.60	$289.89
United Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $215.76 / $367.02	Professional		$185.30	$215.76	$367.02