Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.39 / $358.39 / $358.39	Facility		$358.39	$358.39	$358.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.71 / $394.71 / $705.83	Professional		$394.71	$394.71	$705.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.97 / $417.97 / $423.26	Professional		$417.97	$417.97	$423.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $564.44 / $564.44 / $564.44	Facility		$564.44	$564.44	$564.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $342.54 / $617.75	Professional		$163.88	$342.54	$617.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.25 / $473.85 / $645.99	Professional		$431.25	$473.85	$645.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.75 / $540.75 / $564.44	Facility		$540.75	$540.75	$564.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.16 / $438.75 / $806.61	Professional		$256.16	$438.75	$806.61
United Facility/Professional Professional Modifier Low / Median / High Price $241.96 / $337.60 / $501.57	Professional		$241.96	$337.60	$501.57