Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.55 / $299.55 / $299.55	Facility		$299.55	$299.55	$299.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $104.77 / $244.94	Professional		$91.43	$104.77	$244.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.12 / $287.52 / $393.15	Professional		$258.12	$287.52	$393.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.77 / $244.94 / $374.76	Facility		$104.77	$244.94	$374.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.35 / $307.62 / $480.62	Professional		$256.35	$307.62	$480.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $397.20 / $570.26	Professional		$147.60	$397.20	$570.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.27 / $244.94 / $374.76	Facility		$103.27	$244.94	$374.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $269.87 / $531.20	Professional		$130.19	$269.87	$531.20
United Facility/Professional Professional Modifier Low / Median / High Price $275.81 / $314.52 / $629.04	Professional		$275.81	$314.52	$629.04