Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.94 / $387.94 / $611.30	Facility		$387.94	$387.94	$611.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.71 / $657.95 / $1,036.82	Professional		$125.71	$657.95	$1,036.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.75 / $499.93 / $971.10	Professional		$325.75	$499.93	$971.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.37 / $657.95 / $1,451.55	Facility		$146.37	$657.95	$1,451.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $342.08 / $664.08 / $1,384.50	Professional		$342.08	$664.08	$1,384.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.75 / $832.00 / $1,278.34	Professional		$528.75	$832.00	$1,278.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.78 / $723.75 / $1,451.55	Facility		$171.78	$723.75	$1,451.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.75 / $781.95 / $1,249.95	Professional		$300.75	$781.95	$1,249.95
United Facility/Professional Professional Modifier Low / Median / High Price $539.46 / $944.06 / $1,186.81	Professional		$539.46	$944.06	$1,186.81