Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.53 / $348.53 / $348.53	Facility		$348.53	$348.53	$348.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $784.80	Professional		$285.00	$285.00	$784.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.03 / $253.78 / $408.71	Professional		$235.03	$253.78	$408.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $399.00 / $407.55	Facility		$285.00	$399.00	$407.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $328.97 / $438.63 / $452.00	Professional		$328.97	$438.63	$452.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.74 / $586.50 / $655.40	Professional		$331.74	$586.50	$655.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $399.00 / $407.55	Facility		$285.00	$399.00	$407.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.73 / $448.88 / $863.73	Professional		$185.73	$448.88	$863.73
United Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $326.95 / $493.25	Professional		$141.66	$326.95	$493.25