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 $72.06 / $95.88 / $247.54	Professional		$72.06	$95.88	$247.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $92.15 / $110.68	Professional		$71.09	$92.15	$110.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $168.33 / $198.04	Facility		$128.99	$168.33	$198.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.86 / $257.95 / $326.95	Professional		$143.86	$257.95	$326.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.20 / $167.20 / $3,495.87	Facility		$167.20	$167.20	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $179.90 / $331.50	Professional		$117.68	$179.90	$331.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.28 / $168.33 / $198.04	Facility		$115.28	$168.33	$198.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $132.60 / $238.40	Professional		$83.61	$132.60	$238.40
United Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $239.64 / $263.60	Professional		$137.26	$239.64	$263.60