Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.05 / $268.16 / $357.55	Facility		$125.05	$268.16	$357.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $127.73 / $228.33	Professional		$96.33	$127.73	$228.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $211.27 / $450.04	Professional		$116.00	$211.27	$450.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.80 / $190.49 / $400.46	Facility		$117.80	$190.49	$400.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.93 / $351.27 / $396.85	Professional		$181.93	$351.27	$396.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.63 / $258.30 / $536.20	Professional		$168.63	$258.30	$536.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.80 / $219.00 / $400.46	Facility		$117.80	$219.00	$400.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.75 / $244.86 / $546.00	Professional		$149.75	$244.86	$546.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.56 / $321.33 / $646.74	Professional		$104.56	$321.33	$646.74