Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.87 / $186.87 / $660.66	Facility		$186.87	$186.87	$660.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $191.46 / $236.60	Professional		$102.50	$191.46	$236.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $273.79 / $273.79 / $273.79	Facility		$273.79	$273.79	$273.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $331.47	Professional		$102.94	$102.94	$331.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.10 / $254.10 / $399.30	Facility		$254.10	$254.10	$399.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.80 / $273.79 / $584.10	Facility		$247.80	$273.79	$584.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $111.68	Professional		$102.94	$102.94	$111.68
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $154.41 / $207.65	Professional		$102.94	$154.41	$207.65