Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.28 / $218.28 / $218.28	Facility		$218.28	$218.28	$218.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.67 / $397.12 / $488.28	Professional		$381.67	$397.12	$488.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.22 / $254.22 / $254.22	Professional		$254.22	$254.22	$254.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $397.12 / $567.88	Facility		$91.54	$397.12	$567.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.05 / $449.40 / $598.78	Professional		$173.05	$449.40	$598.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.50 / $310.30 / $477.40	Professional		$267.50	$310.30	$477.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $397.12 / $567.88	Facility		$91.54	$397.12	$567.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $312.00 / $481.68	Professional		$102.60	$312.00	$481.68
United Facility/Professional Professional Modifier Low / Median / High Price $183.87 / $305.07 / $508.45	Professional		$183.87	$305.07	$508.45