Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.64 / $198.93 / $703.29	Facility		$195.64	$198.93	$703.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $130.72 / $186.51	Professional		$95.90	$130.72	$186.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $117.61	Professional		$95.90	$95.90	$117.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.66 / $178.38 / $690.69	Facility		$101.66	$178.38	$690.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $215.78	Professional		$95.90	$95.90	$215.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.81 / $462.00 / $726.00	Facility		$201.81	$462.00	$726.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $396.00 / $396.00	Professional		$330.00	$396.00	$396.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.38 / $249.73 / $1,009.80	Facility		$178.38	$249.73	$1,009.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $184.25 / $336.60	Professional		$95.90	$184.25	$336.60
United Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $143.85 / $287.70	Professional		$101.65	$143.85	$287.70