Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.34 / $237.02 / $300.62	Facility		$157.34	$237.02	$300.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $143.86 / $320.54	Professional		$77.06	$143.86	$320.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $211.32 / $440.61	Professional		$92.16	$211.32	$440.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.77 / $189.62 / $336.70	Facility		$102.77	$189.62	$336.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $224.80 / $332.11 / $540.65	Professional		$224.80	$332.11	$540.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.20 / $262.20 / $3,495.87	Facility		$262.20	$262.20	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.19 / $301.75 / $424.80	Professional		$206.19	$301.75	$424.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.87 / $189.62 / $336.70	Facility		$98.87	$189.62	$336.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $264.10 / $438.40	Professional		$150.97	$264.10	$438.40
United Facility/Professional Professional Modifier Low / Median / High Price $292.72 / $337.94 / $380.18	Professional		$292.72	$337.94	$380.18