Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.32 / $194.53 / $251.63	Facility		$187.32	$194.53	$251.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $102.24 / $211.50	Professional		$58.81	$102.24	$211.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $177.68 / $350.78	Professional		$71.65	$177.68	$350.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $154.21 / $281.83	Facility		$85.45	$154.21	$281.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.48 / $271.32 / $449.79	Professional		$175.48	$271.32	$449.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.15 / $206.15 / $3,495.87	Facility		$206.15	$206.15	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.55 / $249.55 / $355.39	Professional		$165.55	$249.55	$355.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $149.86 / $281.83	Facility		$80.70	$149.86	$281.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.94 / $212.18 / $355.39	Professional		$124.94	$212.18	$355.39
United Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $280.62 / $315.70	Professional		$266.35	$280.62	$315.70