Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.70 / $129.47 / $412.58	Facility		$116.70	$129.47	$412.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $87.85 / $148.54	Professional		$76.69	$87.85	$148.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $97.94	Professional		$79.86	$79.86	$97.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.66 / $148.54 / $212.41	Facility		$80.66	$148.54	$212.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $179.69	Professional		$79.86	$79.86	$179.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.83 / $222.10 / $349.01	Facility		$112.83	$222.10	$349.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $190.37 / $190.37	Professional		$158.63	$190.37	$190.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.67 / $148.54 / $317.27	Facility		$110.67	$148.54	$317.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $90.66 / $171.18	Professional		$79.86	$90.66	$171.18
United Facility/Professional Professional Modifier Low / Median / High Price $84.65 / $119.79 / $239.58	Professional		$84.65	$119.79	$239.58