Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.85 / $341.85 / $341.85	Facility		$341.85	$341.85	$341.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.29 / $166.83 / $279.52	Professional		$127.29	$166.83	$279.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $354.66 / $455.04	Professional		$303.45	$354.66	$455.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.44 / $279.52 / $427.68	Facility		$148.44	$279.52	$427.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.18 / $379.41 / $519.54	Professional		$316.18	$379.41	$519.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.85 / $501.48 / $715.53	Professional		$194.85	$501.48	$715.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.18 / $279.52 / $427.68	Facility		$125.18	$279.52	$427.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.15 / $349.17 / $649.50	Professional		$175.15	$349.17	$649.50
United Facility/Professional Professional Modifier Low / Median / High Price $356.56 / $364.04 / $728.08	Professional		$356.56	$364.04	$728.08