Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.45 / $266.45 / $345.13	Facility		$266.45	$266.45	$345.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $451.90 / $585.37	Professional		$85.88	$451.90	$585.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.32 / $307.38 / $534.10	Professional		$228.32	$307.38	$534.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.04 / $451.90 / $819.52	Facility		$91.04	$451.90	$819.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $232.08 / $374.58 / $752.70	Professional		$232.08	$374.58	$752.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $518.70 / $714.00	Professional		$358.75	$518.70	$714.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $497.09 / $819.52	Facility		$112.45	$497.09	$819.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.81 / $505.05 / $716.00	Professional		$191.81	$505.05	$716.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.45 / $543.30 / $683.01	Professional		$310.45	$543.30	$683.01