Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.61 / $805.80 / $852.60	Facility		$178.61	$805.80	$852.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.56 / $180.00 / $181.84	Professional		$139.56	$180.00	$181.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Professional		$78.91	$78.91	$78.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.61 / $161.29 / $235.02	Facility		$153.61	$161.29	$235.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $115.90 / $254.13	Professional		$115.90	$115.90	$254.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $416.15 / $804.00	Professional		$268.00	$416.15	$804.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.61 / $180.00 / $235.02	Facility		$153.61	$180.00	$235.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $378.75 / $1,222.48	Professional		$115.90	$378.75	$1,222.48
United Facility/Professional Professional Modifier Low / Median / High Price $242.24 / $506.94 / $1,013.88	Professional		$242.24	$506.94	$1,013.88