Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.48 / $384.48 / $384.48	Facility		$384.48	$384.48	$384.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.34 / $158.37 / $314.39	Professional		$138.34	$158.37	$314.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $212.52 / $467.55	Professional		$133.41	$212.52	$467.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.25 / $314.39 / $449.59	Facility		$151.25	$314.39	$449.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.73 / $395.91 / $714.00	Professional		$254.73	$395.91	$714.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.76 / $510.00 / $783.90	Professional		$241.76	$510.00	$783.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.26 / $282.10 / $449.59	Facility		$132.26	$282.10	$449.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.60 / $402.93 / $778.75	Professional		$163.60	$402.93	$778.75
United Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $396.24 / $792.48	Professional		$137.91	$396.24	$792.48