Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.20 / $235.18 / $550.74	Facility		$199.20	$235.18	$550.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $149.88 / $350.68	Professional		$84.18	$149.88	$350.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.98 / $283.76 / $752.24	Professional		$165.98	$283.76	$752.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.34 / $309.88 / $641.89	Facility		$221.34	$309.88	$641.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $331.89 / $359.55	Professional		$143.44	$331.89	$359.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.25 / $342.00 / $542.90	Professional		$242.25	$342.00	$542.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $221.34 / $309.88 / $641.89	Facility		$221.34	$309.88	$641.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $283.76 / $561.20	Professional		$104.69	$283.76	$561.20
United Facility/Professional Professional Modifier Low / Median / High Price $129.46 / $292.14 / $367.67	Professional		$129.46	$292.14	$367.67