Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $398.11	Professional		$89.13	$141.25	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $426.58	Professional		$416.87	$416.87	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $562.34	Facility		$398.11	$398.11	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $380.19	Professional		$295.12	$354.81	$380.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $645.65	Professional		$436.52	$478.63	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $398.11 / $562.34	Facility		$229.09	$398.11	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $426.58	Professional		$114.82	$257.04	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $660.69	Professional		$239.88	$346.74	$660.69