Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.37 / $218.02 / $277.77	Facility		$192.37	$218.02	$277.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $111.27 / $218.02	Professional		$85.68	$111.27	$218.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $119.00 / $179.00	Professional		$108.09	$119.00	$179.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.92 / $176.80 / $359.09	Facility		$106.92	$176.80	$359.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.70 / $318.30 / $368.33	Professional		$164.70	$318.30	$368.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $228.36 / $490.05	Professional		$148.53	$228.36	$490.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.92 / $199.25 / $359.09	Facility		$106.92	$199.25	$359.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $201.50 / $462.00	Professional		$119.00	$201.50	$462.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $265.83 / $513.50	Professional		$120.30	$265.83	$513.50