Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.86 / $287.86 / $287.86	Facility		$287.86	$287.86	$287.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $102.90 / $235.38	Professional		$89.20	$102.90	$235.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.30 / $272.01 / $375.59	Professional		$240.30	$272.01	$375.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.90 / $235.38 / $360.13	Facility		$102.90	$235.38	$360.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $254.73 / $305.67 / $470.58	Professional		$254.73	$305.67	$470.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $393.75 / $543.70	Professional		$143.04	$393.75	$543.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.35 / $235.38 / $360.13	Facility		$102.35	$235.38	$360.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $264.80 / $502.40	Professional		$128.13	$264.80	$502.40
United Facility/Professional Professional Modifier Low / Median / High Price $268.07 / $300.45 / $648.65	Professional		$268.07	$300.45	$648.65