Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.32 / $164.48 / $388.41	Facility		$139.32	$164.48	$388.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $106.88 / $281.11	Professional		$68.16	$106.88	$281.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $193.21 / $514.94	Professional		$111.58	$193.21	$514.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.80 / $216.72 / $448.92	Facility		$154.80	$216.72	$448.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.38 / $229.02 / $248.11	Professional		$97.38	$229.02	$248.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.12 / $236.00 / $366.68	Professional		$163.12	$236.00	$366.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.80 / $216.72 / $448.92	Facility		$154.80	$216.72	$448.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $193.21 / $379.04	Professional		$71.54	$193.21	$379.04
United Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $201.06 / $251.68	Professional		$88.07	$201.06	$251.68