Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.93 / $190.93 / $216.96	Facility		$190.93	$190.93	$216.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $156.12 / $177.41	Professional		$62.25	$156.12	$177.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $87.58 / $250.50	Professional		$67.26	$87.58	$250.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.69 / $150.80 / $177.41	Facility		$88.69	$150.80	$177.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $196.98 / $245.99	Professional		$110.54	$196.98	$245.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $3,495.87	Facility		$272.70	$272.70	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $173.40 / $361.50	Professional		$108.45	$173.40	$361.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.63 / $150.80 / $223.25	Facility		$86.63	$150.80	$223.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $155.88 / $358.50	Professional		$93.95	$155.88	$358.50
United Facility/Professional Professional Modifier Low / Median / High Price $190.37 / $227.84 / $398.72	Professional		$190.37	$227.84	$398.72