Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.01 / $270.36 / $360.54	Facility		$229.01	$270.36	$360.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $107.90 / $217.68	Professional		$78.20	$107.90	$217.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $278.83 / $360.53	Professional		$175.30	$278.83	$360.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.88 / $363.88 / $363.88	Facility		$363.88	$363.88	$363.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $377.49 / $405.17	Professional		$141.55	$377.49	$405.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $372.50 / $486.25	Professional		$319.80	$372.50	$486.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.88 / $363.88 / $363.88	Facility		$363.88	$363.88	$363.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $287.12 / $492.00	Professional		$141.55	$287.12	$492.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $289.83 / $432.63	Professional		$102.41	$289.83	$432.63