Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $192.72 / $250.00	Facility		$144.54	$192.72	$250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.56 / $159.00 / $380.70	Professional		$93.56	$159.00	$380.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.76 / $270.45 / $718.62	Professional		$154.76	$270.45	$718.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.60 / $224.84 / $465.74	Facility		$160.60	$224.84	$465.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $226.65 / $316.26	Professional		$133.37	$226.65	$316.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.72 / $250.38 / $516.20	Professional		$201.72	$250.38	$516.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.60 / $224.84 / $465.74	Facility		$160.60	$224.84	$465.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $243.95 / $527.50	Professional		$95.10	$243.95	$527.50
United Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $278.16 / $351.23	Professional		$118.32	$278.16	$351.23