Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.39 / $274.39 / $274.39	Facility		$274.39	$274.39	$274.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $126.66 / $302.20	Professional		$83.89	$126.66	$302.20
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 $104.58 / $165.18 / $319.30	Professional		$104.58	$165.18	$319.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.62 / $302.20 / $423.08	Facility		$111.62	$302.20	$423.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $288.20 / $519.75	Professional		$202.80	$288.20	$519.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.25 / $430.65 / $602.00	Professional		$371.25	$430.65	$602.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.62 / $302.20 / $423.08	Facility		$111.62	$302.20	$423.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $319.30 / $594.00	Professional		$127.48	$319.30	$594.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.28 / $319.30 / $542.80	Professional		$126.28	$319.30	$542.80