Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.84 / $515.84 / $515.84	Facility		$515.84	$515.84	$515.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $267.94 / $464.50	Professional		$177.00	$267.94	$464.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.02 / $347.02 / $1,377.22	Professional		$182.02	$347.02	$1,377.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $237.69 / $464.50 / $650.29	Facility		$237.69	$464.50	$650.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $268.38 / $512.94 / $595.01	Professional		$268.38	$512.94	$595.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.95 / $707.50 / $1,035.78	Professional		$365.95	$707.50	$1,035.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.69 / $464.50 / $650.29	Facility		$237.69	$464.50	$650.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.30 / $522.90 / $1,162.00	Professional		$254.30	$522.90	$1,162.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.95 / $534.84 / $967.31	Professional		$449.95	$534.84	$967.31