Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $281.84	Professional		$151.36	$204.17	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $407.38	Professional		$251.19	$251.19	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $407.38	Facility		$141.25	$141.25	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $467.74	Professional		$331.13	$371.54	$467.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $616.60 / $660.69	Professional		$316.23	$616.60	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $407.38	Facility		$141.25	$204.17	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $251.19 / $457.09	Professional		$60.26	$251.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $323.59 / $489.78	Professional		$141.25	$323.59	$489.78