Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.94 / $193.26 / $683.24	Facility		$105.94	$193.26	$683.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $194.80 / $244.67	Professional		$106.00	$194.80	$244.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $278.56 / $278.56 / $278.56	Facility		$278.56	$278.56	$278.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $337.23	Professional		$104.73	$104.73	$337.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.05 / $166.15 / $261.10	Facility		$152.05	$166.15	$261.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.25 / $237.36 / $391.64	Facility		$151.25	$237.36	$391.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $113.62	Professional		$104.73	$104.73	$113.62
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $157.10 / $211.26	Professional		$104.73	$157.10	$211.26