Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.24 / $178.24 / $178.24	Facility		$178.24	$178.24	$178.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.30 / $196.30 / $410.21	Professional		$196.30	$196.30	$410.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.63 / $205.63 / $242.16	Professional		$205.63	$205.63	$242.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $280.70 / $280.70 / $280.70	Facility		$280.70	$280.70	$280.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $202.80 / $365.75	Professional		$94.53	$202.80	$365.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.75 / $279.45 / $382.47	Professional		$248.75	$279.45	$382.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.70 / $280.70 / $280.70	Facility		$280.70	$280.70	$280.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $258.75 / $541.54	Professional		$94.53	$258.75	$541.54
United Facility/Professional Professional Modifier Low / Median / High Price $96.57 / $164.50 / $246.75	Professional		$96.57	$164.50	$246.75