Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $120.23	Professional		$74.13	$75.86	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $426.58	Facility		$120.23	$173.78	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $120.23	Professional		$70.79	$74.13	$120.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $194.98	Facility		$125.89	$125.89	$194.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $173.78	Facility		$120.23	$120.23	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $151.36	Professional		$74.13	$112.20	$151.36