Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $588.84	Facility		$575.44	$575.44	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $354.81	Professional		$186.21	$213.80	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $524.81 / $724.44	Professional		$467.74	$524.81	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $660.69	Facility		$194.98	$281.84	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $524.81 / $1,023.29	Professional		$208.93	$524.81	$1,023.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $831.76 / $1,023.29	Professional		$398.11	$831.76	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $630.96	Facility		$190.55	$263.03	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $512.86 / $676.08	Professional		$79.43	$512.86	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $1,230.27	Professional		$316.23	$575.44	$1,230.27