Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.32 / $235.76 / $314.44	Facility		$106.32	$235.76	$314.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $120.69 / $221.96	Professional		$85.36	$120.69	$221.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $134.00 / $195.00	Professional		$117.00	$134.00	$195.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.36 / $175.69 / $352.07	Facility		$103.36	$175.69	$352.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $189.81 / $312.95 / $432.93	Professional		$189.81	$312.95	$432.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $248.57 / $519.75	Professional		$152.00	$248.57	$519.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.20 / $195.40 / $352.07	Facility		$105.20	$195.40	$352.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $207.34 / $469.50	Professional		$134.00	$207.34	$469.50
United Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $285.48 / $562.16	Professional		$130.13	$285.48	$562.16