Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.54 / $410.92 / $851.37	Facility		$304.54	$410.92	$851.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $157.79 / $246.06	Professional		$55.72	$157.79	$246.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $107.00 / $312.68	Professional		$81.30	$107.00	$312.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $209.15 / $310.56	Facility		$138.47	$209.15	$310.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $307.64 / $369.00	Professional		$155.41	$307.64	$369.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.90 / $450.90 / $3,495.87	Facility		$450.90	$450.90	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $214.97 / $493.50	Professional		$137.91	$214.97	$493.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.04 / $209.15 / $351.87	Facility		$125.04	$209.15	$351.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $187.04 / $481.00	Professional		$117.00	$187.04	$481.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.13 / $250.14 / $437.75	Professional		$225.13	$250.14	$437.75