Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.31 / $277.02 / $312.69	Facility		$239.31	$277.02	$312.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $127.46 / $302.49	Professional		$76.25	$127.46	$302.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $220.28 / $444.12	Professional		$89.21	$220.28	$444.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.18 / $201.02 / $350.22	Facility		$107.18	$201.02	$350.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $226.43 / $338.08 / $561.19	Professional		$226.43	$338.08	$561.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.10 / $264.10 / $3,495.87	Facility		$264.10	$264.10	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.98 / $308.00 / $434.31	Professional		$209.98	$308.00	$434.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.45 / $191.45 / $350.22	Facility		$101.45	$191.45	$350.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $266.95 / $444.12	Professional		$157.10	$266.95	$444.12
United Facility/Professional Professional Modifier Low / Median / High Price $271.02 / $350.60 / $394.43	Professional		$271.02	$350.60	$394.43