Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $218.78	Facility		$186.21	$186.21	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $263.03	Professional		$131.83	$158.49	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $144.54	Professional		$97.72	$97.72	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $218.78 / $257.04	Facility		$79.43	$218.78	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $812.83	Professional		$154.88	$275.42	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $263.03 / $275.42	Facility		$234.42	$263.03	$275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $269.15	Professional		$213.80	$263.03	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $275.42	Facility		$79.43	$79.43	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $257.04	Professional		$60.26	$134.90	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $138.04	Facility		$120.23	$120.23	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $660.69	Professional		$128.82	$199.53	$660.69