Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.90 / $165.15 / $220.24	Facility		$139.90	$165.15	$220.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $92.37 / $155.43	Professional		$70.76	$92.37	$155.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.30 / $245.99 / $309.20	Professional		$218.30	$245.99	$309.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.26 / $222.26 / $222.26	Facility		$222.26	$222.26	$222.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $232.89 / $249.97	Professional		$120.65	$232.89	$249.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.98 / $240.00 / $371.25	Professional		$195.98	$240.00	$371.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.26 / $222.26 / $222.26	Facility		$222.26	$222.26	$222.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $242.25 / $423.12	Professional		$120.65	$242.25	$423.12
United Facility/Professional Professional Modifier Low / Median / High Price $106.11 / $247.36 / $371.04	Professional		$106.11	$247.36	$371.04