Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.48 / $406.80 / $842.82	Facility		$301.48	$406.80	$842.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $103.35 / $243.59	Professional		$53.37	$103.35	$243.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $105.02 / $306.63	Professional		$77.86	$105.02	$306.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $207.05 / $310.56	Facility		$138.47	$207.05	$310.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $303.45 / $386.71	Professional		$152.63	$303.45	$386.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.15 / $444.15 / $3,495.87	Facility		$444.15	$444.15	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $209.39 / $486.00	Professional		$139.69	$209.39	$486.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.06 / $207.05 / $348.33	Facility		$123.06	$207.05	$348.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $180.90 / $464.94	Professional		$119.23	$180.90	$464.94
United Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $245.30 / $429.28	Professional		$220.77	$245.30	$429.28