Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.54 / $247.54 / $330.73	Facility		$247.54	$247.54	$330.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $198.03 / $237.64	Professional		$50.62	$198.03	$237.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.90 / $178.90 / $178.90	Facility		$178.90	$178.90	$178.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $83.82 / $100.71	Professional		$63.53	$83.82	$100.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.19 / $168.33 / $283.20	Facility		$126.19	$168.33	$283.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.15 / $262.67 / $333.23	Professional		$140.15	$262.67	$333.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.55 / $165.55 / $3,495.87	Facility		$165.55	$165.55	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $168.56 / $330.00	Professional		$121.41	$168.56	$330.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.43 / $168.33 / $198.04	Facility		$112.43	$168.33	$198.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $133.19 / $237.75	Professional		$75.50	$133.19	$237.75
United Facility/Professional Professional Modifier Low / Median / High Price $223.02 / $227.52 / $318.52	Professional		$223.02	$227.52	$318.52