Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.55 / $166.08 / $221.43	Facility		$128.55	$166.08	$221.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $108.15 / $177.14	Professional		$51.10	$108.15	$177.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $145.80 / $298.87	Professional		$69.89	$145.80	$298.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $143.97 / $248.00	Facility		$71.38	$143.97	$248.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $197.82 / $359.95	Professional		$133.43	$197.82	$359.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $137.12 / $248.00	Facility		$71.38	$137.12	$248.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $140.63 / $229.12	Professional		$77.38	$140.63	$229.12
United Facility/Professional Professional Modifier Low / Median / High Price $175.74 / $239.10 / $300.92	Professional		$175.74	$239.10	$300.92