Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.34 / $190.34 / $265.66	Facility		$190.34	$190.34	$265.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $322.83 / $450.56	Professional		$61.92	$322.83	$450.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.55 / $222.33 / $417.37	Professional		$161.55	$222.33	$417.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.77 / $322.83 / $630.78	Facility		$67.77	$322.83	$630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.40 / $292.08 / $586.95	Professional		$167.40	$292.08	$586.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.75 / $388.00 / $548.00	Professional		$258.75	$388.00	$548.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $355.12 / $630.78	Facility		$85.40	$355.12	$630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.82 / $368.75 / $534.29	Professional		$138.82	$368.75	$534.29
United Facility/Professional Professional Modifier Low / Median / High Price $235.30 / $411.78 / $517.66	Professional		$235.30	$411.78	$517.66