Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.80 / $236.80 / $236.80	Facility		$236.80	$236.80	$236.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $118.71 / $193.64	Professional		$84.55	$118.71	$193.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $130.59 / $296.60	Professional		$81.70	$130.59	$296.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.92 / $193.64 / $276.91	Facility		$92.92	$193.64	$276.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $243.57 / $439.25	Professional		$156.47	$243.57	$439.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.43 / $313.75 / $481.65	Professional		$154.43	$313.75	$481.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $182.79 / $276.91	Facility		$80.81	$182.79	$276.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.15 / $248.00 / $481.65	Professional		$100.15	$248.00	$481.65
United Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $243.14 / $577.46	Professional		$85.25	$243.14	$577.46