Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $467.74	Facility		$302.00	$302.00	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $457.09	Professional		$95.50	$162.18	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $691.83	Professional		$251.19	$371.54	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $223.87 / $758.58	Facility		$114.82	$223.87	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $831.76	Professional		$239.88	$446.68	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $588.84 / $912.01	Professional		$354.81	$588.84	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $208.93 / $707.95	Facility		$117.49	$208.93	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $208.93 / $371.54	Professional		$60.26	$208.93	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $537.03 / $851.14	Professional		$147.91	$537.03	$851.14