Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.51 / $199.51 / $276.51	Facility		$199.51	$199.51	$276.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $338.38 / $468.98	Professional		$64.15	$338.38	$468.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.48 / $234.48 / $424.58	Professional		$171.48	$234.48	$424.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $338.38 / $656.57	Facility		$74.15	$338.38	$656.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.40 / $296.94 / $596.70	Professional		$167.40	$296.94	$596.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.75 / $397.80 / $559.98	Professional		$258.75	$397.80	$559.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.47 / $372.22 / $656.57	Facility		$86.47	$372.22	$656.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $377.50 / $565.50	Professional		$144.66	$377.50	$565.50
United Facility/Professional Professional Modifier Low / Median / High Price $250.86 / $501.72 / $551.89	Professional		$250.86	$501.72	$551.89