Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.86 / $176.86 / $176.86	Facility		$176.86	$176.86	$176.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.77 / $194.77 / $451.08	Professional		$194.77	$194.77	$451.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.35 / $174.35 / $223.65	Professional		$174.35	$174.35	$223.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $278.52 / $278.52 / $278.52	Facility		$278.52	$278.52	$278.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $192.15 / $346.50	Professional		$105.45	$192.15	$346.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $276.75 / $362.34	Professional		$247.50	$276.75	$362.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.52 / $278.52 / $278.52	Facility		$278.52	$278.52	$278.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $277.50 / $523.27	Professional		$105.45	$277.50	$523.27
United Facility/Professional Professional Modifier Low / Median / High Price $106.64 / $187.72 / $268.38	Professional		$106.64	$187.72	$268.38