Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.74 / $363.89 / $485.19	Facility		$311.74	$363.89	$485.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.98 / $183.58 / $388.15	Professional		$117.98	$183.58	$388.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $343.43 / $696.44	Professional		$151.57	$343.43	$696.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.80 / $332.52 / $543.41	Facility		$171.80	$332.52	$543.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $434.56 / $808.48	Professional		$322.64	$434.56	$808.48
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 $148.21 / $332.52 / $543.41	Facility		$148.21	$332.52	$543.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.46 / $324.26 / $469.92	Professional		$165.46	$324.26	$469.92
United Facility/Professional Professional Modifier Low / Median / High Price $385.23 / $497.06 / $625.57	Professional		$385.23	$497.06	$625.57