Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.31 / $249.31 / $881.41	Facility		$249.31	$249.31	$881.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $251.83 / $251.83	Professional		$154.83	$251.83	$251.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $360.12 / $360.12 / $360.12	Facility		$360.12	$360.12	$360.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $44.56 / $63.65	Professional		$44.56	$44.56	$63.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.04 / $255.04 / $400.77	Facility		$255.04	$255.04	$400.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $255.04 / $360.12 / $601.16	Facility		$255.04	$360.12	$601.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $63.65 / $158.56	Professional		$44.56	$63.65	$158.56
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $233.18 / $313.57	Professional		$155.44	$233.18	$313.57