Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.02 / $249.02 / $323.11	Facility		$249.02	$249.02	$323.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $138.94 / $324.66	Professional		$81.54	$138.94	$324.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $227.93 / $462.79	Professional		$103.02	$227.93	$462.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $199.22 / $361.89	Facility		$114.44	$199.22	$361.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.13 / $356.84 / $580.90	Professional		$236.13	$356.84	$580.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.50 / $275.50 / $3,495.87	Facility		$275.50	$275.50	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.75 / $319.55 / $449.49	Professional		$219.75	$319.55	$449.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.34 / $199.22 / $361.89	Facility		$106.34	$199.22	$361.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $278.35 / $462.00	Professional		$161.99	$278.35	$462.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.95 / $362.16 / $415.43	Professional		$313.95	$362.16	$415.43