Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.49 / $251.49 / $347.23	Facility		$251.49	$251.49	$347.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $89.99 / $219.25	Professional		$56.10	$89.99	$219.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $181.28 / $290.22	Professional		$100.37	$181.28	$290.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.45 / $116.54 / $257.31	Facility		$62.45	$116.54	$257.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.01 / $320.45 / $427.86	Professional		$162.01	$320.45	$427.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $187.74 / $336.25	Professional		$96.40	$187.74	$336.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.84 / $129.25 / $281.82	Facility		$76.84	$129.25	$281.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $181.28 / $335.00	Professional		$96.40	$181.28	$335.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.18 / $237.32 / $337.67	Professional		$232.18	$237.32	$337.67