Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.02 / $322.41 / $328.35	Facility		$249.02	$322.41	$328.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $131.47 / $272.88	Professional		$78.84	$131.47	$272.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $227.33 / $462.79	Professional		$92.12	$227.33	$462.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.08 / $199.22 / $361.10	Facility		$108.08	$199.22	$361.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.13 / $355.31 / $578.41	Professional		$236.13	$355.31	$578.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.50 / $275.50 / $3,495.87	Facility		$275.50	$275.50	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.53 / $318.72 / $448.32	Professional		$222.53	$318.72	$448.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.43 / $199.22 / $361.10	Facility		$104.43	$199.22	$361.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.05 / $278.35 / $457.20	Professional		$160.05	$278.35	$457.20
United Facility/Professional Professional Modifier Low / Median / High Price $313.29 / $362.16 / $407.43	Professional		$313.29	$362.16	$407.43