Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.11 / $299.33 / $352.16	Facility		$264.11	$299.33	$352.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.29 / $239.47 / $352.02	Professional		$211.29	$239.47	$352.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.91 / $626.91 / $626.91	Professional		$626.91	$626.91	$626.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $182.99 / $242.25	Facility		$117.07	$182.99	$242.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $350.11 / $410.49 / $444.70	Professional		$350.11	$410.49	$444.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.56 / $235.56 / $346.86	Facility		$235.56	$235.56	$346.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.56 / $468.00 / $542.85	Professional		$235.56	$468.00	$542.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $185.89 / $242.25	Facility		$117.07	$185.89	$242.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.56 / $489.25 / $626.91	Professional		$235.56	$489.25	$626.91
United Facility/Professional Professional Modifier Low / Median / High Price $501.52 / $501.52 / $564.21	Professional		$501.52	$501.52	$564.21