Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $145.94 / $145.94	Facility		$145.94	$145.94	$145.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $82.68 / $170.30	Professional		$61.76	$82.68	$170.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $150.26 / $339.81	Professional		$76.63	$150.26	$339.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.50 / $146.26 / $238.42	Facility		$80.50	$146.26	$238.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $232.29 / $395.38	Professional		$170.63	$232.29	$395.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.40 / $201.40 / $3,495.87	Facility		$201.40	$201.40	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.15 / $215.88 / $292.80	Professional		$158.15	$215.88	$292.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $146.26 / $238.42	Facility		$78.45	$146.26	$238.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.80 / $201.93 / $300.99	Professional		$109.80	$201.93	$300.99
United Facility/Professional Professional Modifier Low / Median / High Price $206.28 / $240.78 / $270.88	Professional		$206.28	$240.78	$270.88