Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.11 / $252.81 / $337.08	Facility		$205.11	$252.81	$337.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $130.90 / $269.66	Professional		$78.27	$130.90	$269.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $213.66 / $410.65	Professional		$97.58	$213.66	$410.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.46 / $218.78 / $377.52	Facility		$114.46	$218.78	$377.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.68 / $302.45 / $503.55	Professional		$212.68	$302.45	$503.55
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 $103.01 / $218.78 / $377.52	Facility		$103.01	$218.78	$377.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $215.28 / $315.37	Professional		$111.80	$215.28	$315.37
United Facility/Professional Professional Modifier Low / Median / High Price $267.77 / $328.52 / $413.45	Professional		$267.77	$328.52	$413.45