Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.43 / $178.43 / $178.43	Facility		$178.43	$178.43	$178.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $145.91 / $335.15	Professional		$145.91	$145.91	$335.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $174.51	Professional		$61.52	$61.52	$174.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.91 / $204.27 / $208.65	Facility		$145.91	$204.27	$208.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.94 / $221.25 / $228.00	Professional		$165.94	$221.25	$228.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $256.30 / $330.60	Professional		$128.69	$256.30	$330.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.91 / $204.27 / $208.65	Facility		$145.91	$204.27	$208.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $174.51 / $259.50	Professional		$76.67	$174.51	$259.50
United Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $79.31 / $139.60	Professional		$65.73	$79.31	$139.60