Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.57 / $250.86 / $886.87	Facility		$134.57	$250.86	$886.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.11 / $150.33 / $254.20	Professional		$118.11	$150.33	$254.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Professional		$136.66	$136.66	$136.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.03 / $254.20 / $355.88	Facility		$138.03	$254.20	$355.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $273.33	Professional		$136.66	$136.66	$273.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.62 / $216.83 / $340.74	Facility		$200.62	$216.83	$340.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $185.86 / $185.86	Professional		$154.88	$185.86	$185.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $254.20 / $355.88	Facility		$136.66	$254.20	$355.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $155.75 / $180.44	Professional		$136.66	$155.75	$180.44
United Facility/Professional Professional Modifier Low / Median / High Price $144.87 / $205.01 / $410.01	Professional		$144.87	$205.01	$410.01