Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.21 / $238.21 / $341.45	Facility		$238.21	$238.21	$341.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $404.03 / $579.11	Professional		$76.44	$404.03	$579.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.62 / $288.37 / $526.51	Professional		$204.62	$288.37	$526.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $404.03 / $810.75	Facility		$92.77	$404.03	$810.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $201.35 / $370.68 / $744.90	Professional		$201.35	$370.68	$744.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.25 / $477.50 / $712.00	Professional		$311.25	$477.50	$712.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.09 / $444.43 / $810.75	Facility		$103.09	$444.43	$810.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $457.90 / $694.20	Professional		$178.64	$457.90	$694.20
United Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $529.36 / $679.49	Professional		$156.47	$529.36	$679.49