Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.30 / $344.96 / $777.48	Facility		$230.30	$344.96	$777.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $173.90 / $397.10	Professional		$50.68	$173.90	$397.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $178.40 / $359.09	Professional		$107.16	$178.40	$359.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $232.71 / $545.30	Facility		$51.82	$232.71	$545.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $218.75 / $496.25	Professional		$110.68	$218.75	$496.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $331.50 / $504.00	Professional		$168.75	$331.50	$504.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $232.71 / $545.30	Facility		$51.82	$232.71	$545.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.94 / $317.50 / $491.40	Professional		$119.94	$317.50	$491.40
United Facility/Professional Professional Modifier Low / Median / High Price $204.18 / $408.36 / $475.95	Professional		$204.18	$408.36	$475.95