Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.77 / $177.48 / $465.93	Facility		$139.77	$177.48	$465.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.03 / $151.31 / $151.31	Professional		$93.03	$151.31	$151.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.37 / $216.37 / $216.37	Facility		$216.37	$216.37	$216.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $96.43 / $137.75	Professional		$96.43	$96.43	$137.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.91 / $156.91 / $246.58	Facility		$156.91	$156.91	$246.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.91 / $216.37 / $369.86	Facility		$156.91	$216.37	$369.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $137.75	Professional		$95.27	$95.27	$137.75
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $201.72	Professional		$100.00	$150.00	$201.72