Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.34 / $210.02 / $282.13	Facility		$157.34	$210.02	$282.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $132.46 / $273.54	Professional		$70.04	$132.46	$273.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $198.35 / $405.76	Professional		$81.67	$198.35	$405.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.63 / $174.82 / $315.99	Facility		$94.63	$174.82	$315.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.03 / $311.54 / $507.15	Professional		$207.03	$311.54	$507.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.30 / $241.30 / $3,495.87	Facility		$241.30	$241.30	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.63 / $279.73 / $398.40	Professional		$189.63	$279.73	$398.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $174.82 / $315.99	Facility		$90.90	$174.82	$315.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $242.57 / $402.00	Professional		$141.63	$242.57	$402.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.47 / $316.72 / $356.31	Professional		$274.47	$316.72	$356.31