Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.45 / $239.45 / $252.48	Facility		$239.45	$239.45	$252.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $195.80 / $206.45	Professional		$73.12	$195.80	$206.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $100.38 / $312.17	Professional		$77.00	$100.38	$312.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.33 / $175.48 / $206.45	Facility		$111.33	$175.48	$206.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $240.25 / $292.33	Professional		$125.88	$240.25	$292.33
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 $127.50 / $198.75 / $416.64	Professional		$127.50	$198.75	$416.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $175.48 / $279.99	Facility		$100.61	$175.48	$279.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $182.16 / $406.50	Professional		$116.87	$182.16	$406.50
United Facility/Professional Professional Modifier Low / Median / High Price $222.49 / $261.83 / $458.22	Professional		$222.49	$261.83	$458.22