Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.67 / $240.67 / $240.67	Facility		$240.67	$240.67	$240.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.26 / $437.85 / $540.12	Professional		$420.26	$437.85	$540.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.16 / $280.16 / $280.16	Professional		$280.16	$280.16	$280.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.92 / $437.85 / $626.13	Facility		$100.92	$437.85	$626.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.03 / $493.50 / $661.77	Professional		$190.03	$493.50	$661.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.75 / $340.75 / $528.00	Professional		$293.75	$340.75	$528.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.92 / $437.85 / $626.13	Facility		$100.92	$437.85	$626.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $343.50 / $535.20	Professional		$114.00	$343.50	$535.20
United Facility/Professional Professional Modifier Low / Median / High Price $224.12 / $336.18 / $528.63	Professional		$224.12	$336.18	$528.63