Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $575.44	Professional		$204.17	$288.40	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $616.60	Professional		$512.86	$512.86	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $812.83	Facility		$575.44	$575.44	$812.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $602.56	Professional		$467.74	$562.34	$602.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $1,047.13	Professional		$741.31	$776.25	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $812.83	Facility		$575.44	$575.44	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $616.60	Professional		$194.98	$281.84	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $1,202.26	Professional		$288.40	$501.19	$1,202.26