Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.06 / $321.33 / $857.51	Facility		$257.06	$321.33	$857.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.07 / $335.55 / $369.10	Professional		$257.07	$335.55	$369.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $343.63 / $343.63 / $343.63	Facility		$343.63	$343.63	$343.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $329.09 / $329.09	Professional		$329.09	$329.09	$329.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.57 / $516.57 / $811.76	Facility		$516.57	$516.57	$811.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.79 / $182.79 / $182.79	Professional		$182.79	$182.79	$182.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.63 / $482.85 / $1,138.14	Facility		$343.63	$482.85	$1,138.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.33 / $178.33 / $368.58	Professional		$178.33	$178.33	$368.58
United Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $329.09 / $394.76	Professional		$329.09	$329.09	$394.76