Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.98 / $211.98 / $284.67	Facility		$211.98	$211.98	$284.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $117.31 / $248.16	Professional		$66.56	$117.31	$248.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $201.38 / $398.21	Professional		$78.98	$201.38	$398.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.05 / $178.07 / $318.83	Facility		$97.05	$178.07	$318.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.75 / $309.49 / $512.02	Professional		$199.75	$309.49	$512.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.70 / $233.70 / $3,495.87	Facility		$233.70	$233.70	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.48 / $282.20 / $400.00	Professional		$188.48	$282.20	$400.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $169.59 / $318.83	Facility		$91.66	$169.59	$318.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $240.69 / $402.96	Professional		$141.72	$240.69	$402.96
United Facility/Professional Professional Modifier Low / Median / High Price $277.49 / $318.56 / $358.38	Professional		$277.49	$318.56	$358.38