Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.27 / $276.27 / $276.27	Facility		$276.27	$276.27	$276.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $225.91 / $225.91	Professional		$84.63	$225.91	$225.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $106.86 / $359.91	Professional		$77.00	$106.86	$359.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.86 / $192.02 / $225.91	Facility		$64.86	$192.02	$225.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $276.89 / $327.99	Professional		$146.30	$276.89	$327.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.50 / $418.50 / $3,495.87	Facility		$418.50	$418.50	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $239.87 / $507.78	Professional		$154.00	$239.87	$507.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $192.02 / $323.05	Facility		$70.33	$192.02	$323.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.55 / $215.60 / $462.00	Professional		$138.55	$215.60	$462.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.13 / $287.92 / $503.86	Professional		$259.13	$287.92	$503.86