Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.32 / $250.93 / $251.86	Facility		$187.32	$250.93	$251.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $112.69 / $211.50	Professional		$58.81	$112.69	$211.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $177.08 / $349.77	Professional		$71.65	$177.08	$349.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $154.21 / $281.05	Facility		$85.45	$154.21	$281.05
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 $165.00 / $249.55 / $355.39	Professional		$165.00	$249.55	$355.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $149.86 / $281.05	Facility		$80.70	$149.86	$281.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.55 / $211.46 / $355.39	Professional		$124.55	$211.46	$355.39
United Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $279.82 / $314.80	Professional		$119.10	$279.82	$314.80