Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.91 / $337.91 / $421.68	Facility		$337.91	$337.91	$421.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $251.31 / $715.18	Professional		$101.06	$251.31	$715.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.11 / $391.45 / $624.75	Professional		$288.11	$391.45	$624.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $573.10 / $1,001.25	Facility		$134.44	$573.10	$1,001.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $271.70 / $427.95 / $859.95	Professional		$271.70	$427.95	$859.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $620.75 / $824.00	Professional		$420.00	$620.75	$824.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $607.90 / $1,001.25	Facility		$134.44	$607.90	$1,001.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $604.95 / $834.60	Professional		$231.00	$604.95	$834.60
United Facility/Professional Professional Modifier Low / Median / High Price $381.76 / $387.64 / $777.10	Professional		$381.76	$387.64	$777.10