Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.89 / $184.69 / $652.96	Facility		$100.89	$184.69	$652.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $110.10 / $186.16	Professional		$100.09	$110.10	$186.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $100.09	Professional		$100.09	$100.09	$100.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.09 / $186.16 / $260.62	Facility		$101.09	$186.16	$260.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $200.18	Professional		$100.09	$100.09	$200.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.34 / $162.62 / $255.55	Facility		$146.34	$162.62	$255.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.16 / $139.38 / $139.38	Professional		$116.16	$139.38	$139.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $186.16 / $260.62	Facility		$100.09	$186.16	$260.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $114.22 / $135.34	Professional		$100.09	$114.22	$135.34
United Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $150.13 / $300.27	Professional		$106.10	$150.13	$300.27