Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $194.11 / $529.04	Facility		$109.60	$194.11	$529.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $117.30 / $186.91	Professional		$65.34	$117.30	$186.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $102.24 / $118.28	Professional		$76.08	$102.24	$118.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.47 / $158.72 / $194.81	Facility		$91.47	$158.72	$194.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $206.70 / $271.20	Professional		$119.33	$206.70	$271.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.50 / $283.50 / $3,495.87	Facility		$283.50	$283.50	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $174.96 / $378.00	Professional		$112.75	$174.96	$378.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.47 / $139.66 / $194.81	Facility		$91.47	$139.66	$194.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $144.19 / $370.50	Professional		$93.23	$144.19	$370.50
United Facility/Professional Professional Modifier Low / Median / High Price $209.86 / $233.18 / $408.07	Professional		$209.86	$233.18	$408.07