Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.56 / $322.56 / $322.56	Facility		$322.56	$322.56	$322.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $123.33 / $263.77	Professional		$102.42	$123.33	$263.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.25 / $325.72 / $426.94	Professional		$288.25	$325.72	$426.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.56 / $263.77 / $403.57	Facility		$121.56	$263.77	$403.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $377.49 / $532.60	Professional		$314.58	$377.49	$532.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $486.25 / $706.63	Professional		$175.50	$486.25	$706.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.42 / $263.77 / $403.57	Facility		$102.42	$263.77	$403.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $314.50 / $604.79	Professional		$156.19	$314.50	$604.79
United Facility/Professional Professional Modifier Low / Median / High Price $324.77 / $341.56 / $597.73	Professional		$324.77	$341.56	$597.73