Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.89 / $406.00 / $696.06	Facility		$263.89	$406.00	$696.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $66.58 / $387.80	Professional		$57.03	$66.58	$387.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.21 / $166.21 / $291.02	Professional		$166.21	$166.21	$291.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $552.24 / $552.24 / $552.24	Facility		$552.24	$552.24	$552.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $74.81 / $106.88	Professional		$74.81	$74.81	$106.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.25 / $518.40 / $695.40	Professional		$281.25	$518.40	$695.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $529.07 / $529.07 / $552.24	Facility		$529.07	$529.07	$552.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $409.50 / $622.66	Professional		$106.88	$409.50	$622.66
United Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $232.82 / $1,332.24	Professional		$93.91	$232.82	$1,332.24