Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.93 / $432.93 / $432.93	Facility		$432.93	$432.93	$432.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.81 / $476.81 / $1,033.72	Professional		$476.81	$476.81	$1,033.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.50 / $458.50 / $516.79	Professional		$458.50	$458.50	$516.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $681.84 / $681.84 / $681.84	Facility		$681.84	$681.84	$681.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.93 / $471.60 / $850.50	Professional		$238.93	$471.60	$850.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.50 / $662.85 / $889.38	Professional		$607.50	$662.85	$889.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.84 / $681.84 / $681.84	Facility		$681.84	$681.84	$681.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.93 / $628.75 / $1,165.34	Professional		$238.93	$628.75	$1,165.34
United Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $413.44 / $620.16	Professional		$201.63	$413.44	$620.16