Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.95 / $556.95 / $566.16	Facility		$556.95	$556.95	$566.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.44 / $203.39 / $455.44	Professional		$166.44	$203.39	$455.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.02 / $530.90 / $730.75	Professional		$464.02	$530.90	$730.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.95 / $455.44 / $696.82	Facility		$200.95	$455.44	$696.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $491.68 / $590.01 / $911.12	Professional		$491.68	$590.01	$911.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.25 / $761.04 / $1,057.29	Professional		$284.25	$761.04	$1,057.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.30 / $455.44 / $696.82	Facility		$197.30	$455.44	$696.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $527.15 / $1,057.29	Professional		$281.20	$527.15	$1,057.29
United Facility/Professional Professional Modifier Low / Median / High Price $525.83 / $584.60 / $1,262.07	Professional		$525.83	$584.60	$1,262.07