Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.83 / $158.46 / $186.43	Facility		$139.83	$158.46	$186.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.86 / $126.77 / $186.35	Professional		$111.86	$126.77	$186.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.12 / $289.12 / $289.12	Professional		$289.12	$289.12	$289.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $84.38 / $111.65	Facility		$57.17	$84.38	$111.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.37 / $222.21 / $240.73	Professional		$188.37	$222.21	$240.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $108.72 / $186.96	Facility		$108.72	$108.72	$186.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $216.00 / $286.25	Professional		$108.72	$216.00	$286.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $85.96 / $111.65	Facility		$58.50	$85.96	$111.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $225.15 / $289.12	Professional		$108.72	$225.15	$289.12
United Facility/Professional Professional Modifier Low / Median / High Price $231.18 / $231.30 / $260.20	Professional		$231.18	$231.30	$260.20