Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.69 / $210.81 / $745.29	Facility		$136.69	$210.81	$745.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $124.93 / $550.00	Professional		$112.45	$124.93	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.10 / $299.10 / $299.10	Facility		$299.10	$299.10	$299.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $362.09	Professional		$112.45	$112.45	$362.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.16 / $605.85 / $952.05	Facility		$182.16	$605.85	$952.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.11 / $605.85 / $1,428.07	Facility		$184.11	$605.85	$1,428.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $122.00	Professional		$112.45	$112.45	$122.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $168.68 / $226.83	Professional		$112.45	$168.68	$226.83