Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.86 / $232.86 / $952.74	Facility		$232.86	$232.86	$952.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $190.41 / $190.41	Professional		$95.48	$190.41	$190.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $101.36 / $277.79	Professional		$68.63	$101.36	$277.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.97 / $190.41 / $266.57	Facility		$86.97	$190.41	$266.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.93 / $238.71 / $330.77	Professional		$198.93	$238.71	$330.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.30 / $356.70 / $460.25	Professional		$267.30	$356.70	$460.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.97 / $190.41 / $266.57	Facility		$86.97	$190.41	$266.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.35 / $218.29 / $479.50	Professional		$118.35	$218.29	$479.50
United Facility/Professional Professional Modifier Low / Median / High Price $139.55 / $241.56 / $422.73	Professional		$139.55	$241.56	$422.73