Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.66 / $199.66 / $273.05	Facility		$199.66	$199.66	$273.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $111.12 / $223.62	Professional		$64.75	$111.12	$223.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $193.69 / $381.05	Professional		$78.98	$193.69	$381.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.42 / $168.47 / $305.82	Facility		$91.42	$168.47	$305.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.43 / $298.20 / $491.37	Professional		$188.43	$298.20	$491.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.40 / $220.40 / $3,495.87	Facility		$220.40	$220.40	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.14 / $270.86 / $387.60	Professional		$179.14	$270.86	$387.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.76 / $159.72 / $305.82	Facility		$88.76	$159.72	$305.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.52 / $230.00 / $380.48	Professional		$136.52	$230.00	$380.48
United Facility/Professional Professional Modifier Low / Median / High Price $266.23 / $304.83 / $342.95	Professional		$266.23	$304.83	$342.95