Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.10 / $263.05 / $309.45	Facility		$232.10	$263.05	$309.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.68 / $210.44 / $309.35	Professional		$185.68	$210.44	$309.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.10 / $441.10 / $441.10	Professional		$441.10	$441.10	$441.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.61 / $129.93 / $170.72	Facility		$94.61	$129.93	$170.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.81 / $367.77 / $398.42	Professional		$309.81	$367.77	$398.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.61 / $167.61 / $310.77	Facility		$167.61	$167.61	$310.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.61 / $333.00 / $473.75	Professional		$167.61	$333.00	$473.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.53 / $130.77 / $170.72	Facility		$96.53	$130.77	$170.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.61 / $344.85 / $473.75	Professional		$167.61	$344.85	$473.75
United Facility/Professional Professional Modifier Low / Median / High Price $352.28 / $352.88 / $396.99	Professional		$352.28	$352.88	$396.99