Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $363.08	Professional		$128.82	$177.83	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $426.58	Professional		$380.19	$380.19	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $512.86	Facility		$363.08	$363.08	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $407.38	Professional		$316.23	$380.19	$407.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $501.19 / $676.08	Professional		$467.74	$501.19	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $512.86	Facility		$363.08	$363.08	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $426.58	Professional		$117.49	$169.82	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $812.83	Professional		$213.80	$338.84	$812.83