Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $501.19	Facility		$208.93	$281.84	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $234.42	Professional		$85.11	$112.20	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $741.31	Professional		$173.78	$275.42	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $204.17 / $489.78	Facility		$104.71	$204.17	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $251.19 / $549.54	Professional		$102.33	$251.19	$549.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $457.09	Professional		$234.42	$288.40	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $204.17 / $331.13	Facility		$112.20	$204.17	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $338.84	Professional		$79.43	$134.90	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $288.40 / $338.84	Professional		$120.23	$288.40	$338.84