Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.78 / $211.68 / $536.59	Facility		$151.78	$211.68	$536.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $153.59 / $194.34	Professional		$82.57	$153.59	$194.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Professional		$82.57	$82.57	$82.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.63 / $219.63 / $219.63	Facility		$219.63	$219.63	$219.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $265.91	Professional		$82.58	$82.58	$265.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.82 / $139.16 / $218.68	Facility		$125.82	$139.16	$218.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.70 / $198.80 / $328.02	Facility		$116.70	$198.80	$328.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $89.59	Professional		$82.57	$82.57	$89.59
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $123.87 / $166.58	Professional		$82.58	$123.87	$166.58