Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.98 / $220.64 / $275.58	Facility		$211.98	$220.64	$275.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $111.69 / $232.28	Professional		$66.56	$111.69	$232.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $194.20 / $394.37	Professional		$81.67	$194.20	$394.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.24 / $169.59 / $308.66	Facility		$93.24	$169.59	$308.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.75 / $296.49 / $493.64	Professional		$199.75	$296.49	$493.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.70 / $233.70 / $3,495.87	Facility		$233.70	$233.70	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.48 / $272.24 / $382.94	Professional		$188.48	$272.24	$382.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.70 / $169.59 / $308.66	Facility		$89.70	$169.59	$308.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $235.60 / $393.60	Professional		$138.47	$235.60	$393.60
United Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $308.88 / $347.49	Professional		$269.64	$308.88	$347.49