Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.60 / $290.33 / $363.02	Facility		$177.60	$290.33	$363.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $175.54 / $362.39	Professional		$94.82	$175.54	$362.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.05 / $255.65 / $539.79	Professional		$109.05	$255.65	$539.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.58 / $232.27 / $406.59	Facility		$125.58	$232.27	$406.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.13 / $398.90 / $651.74	Professional		$274.13	$398.90	$651.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.14 / $320.14 / $3,495.87	Facility		$320.14	$320.14	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.59 / $367.20 / $512.40	Professional		$253.59	$367.20	$512.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.93 / $232.27 / $406.59	Facility		$118.93	$232.27	$406.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.89 / $321.83 / $522.41	Professional		$180.89	$321.83	$522.41
United Facility/Professional Professional Modifier Low / Median / High Price $353.20 / $408.52 / $459.59	Professional		$353.20	$408.52	$459.59