Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.67 / $201.94 / $234.97	Facility		$170.67	$201.94	$234.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $96.13 / $191.15	Professional		$52.61	$96.13	$191.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $166.48 / $328.15	Professional		$62.49	$166.48	$328.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.54 / $144.31 / $263.17	Facility		$77.54	$144.31	$263.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $254.87 / $420.91	Professional		$160.13	$254.87	$420.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.10 / $188.10 / $3,495.87	Facility		$188.10	$188.10	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $233.29 / $328.07	Professional		$152.76	$233.29	$328.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.58 / $136.54 / $263.17	Facility		$71.58	$136.54	$263.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $198.00 / $324.72	Professional		$117.37	$198.00	$324.72
United Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $262.52 / $295.33	Professional		$244.20	$262.52	$295.33