Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.55 / $202.55 / $202.55	Facility		$202.55	$202.55	$202.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.08 / $223.08 / $459.24	Professional		$223.08	$223.08	$459.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.58 / $207.58 / $234.32	Professional		$207.58	$207.58	$234.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $319.00 / $319.00	Facility		$319.00	$319.00	$319.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.93 / $274.62 / $495.25	Professional		$105.93	$274.62	$495.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.75 / $353.75 / $517.89	Professional		$278.75	$353.75	$517.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $319.00 / $319.00	Facility		$319.00	$319.00	$319.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.93 / $288.75 / $566.67	Professional		$105.93	$288.75	$566.67
United Facility/Professional Professional Modifier Low / Median / High Price $161.84 / $187.46 / $281.19	Professional		$161.84	$187.46	$281.19