Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.17 / $379.75 / $595.05	Facility		$224.17	$379.75	$595.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $37.99 / $179.34	Professional		$37.06	$37.99	$179.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $76.12 / $259.52	Professional		$66.98	$76.12	$259.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.34 / $251.08 / $256.45	Facility		$179.34	$251.08	$256.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $37.90 / $54.15	Professional		$37.90	$37.90	$54.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $206.08 / $362.50	Professional		$140.80	$206.08	$362.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.34 / $251.08 / $256.45	Facility		$179.34	$251.08	$256.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $143.00 / $287.10	Professional		$66.98	$143.00	$287.10
United Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $207.62 / $311.43	Professional		$48.82	$207.62	$311.43