Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.39 / $276.39 / $276.39	Facility		$276.39	$276.39	$276.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.39 / $304.39 / $620.61	Professional		$304.39	$304.39	$620.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.08 / $320.08 / $346.93	Professional		$320.08	$320.08	$346.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $435.29 / $435.29 / $435.29	Facility		$435.29	$435.29	$435.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $302.76 / $546.00	Professional		$141.55	$302.76	$546.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.50 / $419.85 / $570.96	Professional		$372.50	$419.85	$570.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $435.29 / $435.29 / $435.29	Facility		$435.29	$435.29	$435.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $388.75 / $701.50	Professional		$141.55	$388.75	$701.50
United Facility/Professional Professional Modifier Low / Median / High Price $197.38 / $256.06 / $384.09	Professional		$197.38	$256.06	$384.09