Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.40 / $233.40 / $233.40	Facility		$233.40	$233.40	$233.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.44 / $257.04 / $359.78	Professional		$104.44	$257.04	$359.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.22 / $386.22 / $386.22	Facility		$386.22	$386.22	$386.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $126.09 / $255.87	Professional		$69.94	$126.09	$255.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.37 / $257.04 / $359.86	Facility		$95.37	$257.04	$359.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $244.53 / $497.27	Professional		$203.78	$244.53	$497.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.25 / $346.95 / $470.00	Professional		$291.25	$346.95	$470.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.37 / $257.04 / $367.57	Facility		$95.37	$257.04	$367.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $255.87 / $457.20	Professional		$94.97	$255.87	$457.20
United Facility/Professional Professional Modifier Low / Median / High Price $98.69 / $222.99 / $434.99	Professional		$98.69	$222.99	$434.99