Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.64 / $269.64 / $269.64	Facility		$269.64	$269.64	$269.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $80.76 / $220.50	Professional		$76.76	$80.76	$220.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $199.67 / $330.03	Professional		$140.60	$199.67	$330.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.50 / $308.70 / $315.32	Facility		$220.50	$308.70	$315.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.47 / $340.62 / $351.00	Professional		$255.47	$340.62	$351.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.81 / $473.85 / $508.95	Professional		$256.81	$473.85	$508.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.50 / $308.70 / $315.32	Facility		$220.50	$308.70	$315.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $349.13 / $733.49	Professional		$140.60	$349.13	$733.49
United Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $264.02 / $398.30	Professional		$81.70	$264.02	$398.30