Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.41 / $230.41 / $230.41	Facility		$230.41	$230.41	$230.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.74 / $253.74 / $376.96	Professional		$253.74	$253.74	$376.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $780.86 / $780.86 / $780.86	Facility		$780.86	$780.86	$780.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.29 / $189.54 / $317.20	Professional		$125.29	$189.54	$317.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.28 / $91.28 / $362.85	Facility		$91.28	$91.28	$362.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $242.61 / $517.94	Professional		$130.00	$242.61	$517.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.75 / $344.25 / $516.29	Professional		$268.75	$344.25	$516.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.28 / $109.54 / $780.86	Facility		$91.28	$109.54	$780.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $263.29 / $468.86	Professional		$110.70	$263.29	$468.86
United Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $225.10 / $457.55	Professional		$83.37	$225.10	$457.55