Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.39 / $391.39 / $391.39	Facility		$391.39	$391.39	$391.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.06 / $431.06 / $785.20	Professional		$431.06	$431.06	$785.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.59 / $453.59 / $456.30	Professional		$453.59	$453.59	$456.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.41 / $616.41 / $616.41	Facility		$616.41	$616.41	$616.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.93 / $380.40 / $686.00	Professional		$181.93	$380.40	$686.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.75 / $526.50 / $717.36	Professional		$478.75	$526.50	$717.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $590.54 / $590.54 / $616.41	Facility		$590.54	$590.54	$616.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.69 / $487.50 / $870.59	Professional		$281.69	$487.50	$870.59
United Facility/Professional Professional Modifier Low / Median / High Price $252.03 / $365.04 / $547.55	Professional		$252.03	$365.04	$547.55