Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.71 / $183.71 / $183.71	Facility		$183.71	$183.71	$183.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.32 / $202.32 / $420.31	Professional		$202.32	$202.32	$420.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.05 / $212.05 / $240.14	Professional		$212.05	$212.05	$240.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.32 / $289.32 / $289.32	Facility		$289.32	$289.32	$289.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $207.66 / $374.50	Professional		$96.90	$207.66	$374.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $286.20 / $391.62	Professional		$255.00	$286.20	$391.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.32 / $289.32 / $289.32	Facility		$289.32	$289.32	$289.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $265.00 / $509.56	Professional		$96.90	$265.00	$509.56
United Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $169.64 / $254.46	Professional		$120.98	$169.64	$254.46