Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.80 / $185.80 / $656.88	Facility		$185.80	$185.80	$656.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.39 / $189.92 / $189.92	Professional		$115.39	$189.92	$189.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.58 / $271.58 / $271.58	Facility		$271.58	$271.58	$271.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.24 / $186.24 / $292.67	Facility		$186.24	$186.24	$292.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.24 / $266.06 / $439.00	Facility		$186.24	$266.06	$439.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $175.86 / $236.50	Professional		$117.24	$175.86	$236.50