Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.58 / $167.14 / $222.87	Facility		$141.58	$167.14	$222.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $66.34 / $157.30	Professional		$57.50	$66.34	$157.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $192.86 / $249.21	Professional		$123.48	$192.86	$249.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $224.94 / $224.94 / $224.94	Facility		$224.94	$224.94	$224.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $235.80 / $253.09	Professional		$98.33	$235.80	$253.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.26 / $243.00 / $334.50	Professional		$199.26	$243.00	$334.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.94 / $224.94 / $224.94	Facility		$224.94	$224.94	$224.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $197.17 / $337.84	Professional		$98.33	$197.17	$337.84
United Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $198.62 / $299.04	Professional		$78.53	$198.62	$299.04