Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.69 / $234.77 / $529.04	Facility		$229.69	$234.77	$529.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $100.85 / $187.82	Professional		$66.47	$100.85	$187.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $95.28 / $113.94	Professional		$81.02	$95.28	$113.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $128.63 / $187.82	Facility		$31.69	$128.63	$187.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.42 / $230.48 / $269.13	Professional		$118.42	$230.48	$269.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.90 / $342.90 / $3,495.87	Facility		$342.90	$342.90	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $183.00 / $376.50	Professional		$121.00	$183.00	$376.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.47 / $128.63 / $268.58	Facility		$66.47	$128.63	$268.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $136.40 / $372.00	Professional		$90.08	$136.40	$372.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.98 / $235.42 / $411.99	Professional		$202.98	$235.42	$411.99