Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.97 / $292.97 / $292.97	Facility		$292.97	$292.97	$292.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.57 / $239.57 / $690.78	Professional		$239.57	$239.57	$690.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $359.70	Professional		$215.87	$215.87	$359.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.57 / $335.40 / $342.59	Facility		$239.57	$335.40	$342.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $360.03 / $371.00	Professional		$270.02	$360.03	$371.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.63 / $500.85 / $537.95	Professional		$278.63	$500.85	$537.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.57 / $335.40 / $342.59	Facility		$239.57	$335.40	$342.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.33 / $381.04 / $792.90	Professional		$164.33	$381.04	$792.90
United Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $287.76 / $434.12	Professional		$135.66	$287.76	$434.12