Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.96 / $317.27 / $512.54	Facility		$237.96	$317.27	$512.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $190.37 / $477.52	Professional		$127.68	$190.37	$477.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.30 / $367.66 / $974.94	Professional		$209.30	$367.66	$974.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.82 / $355.35 / $736.08	Facility		$253.82	$355.35	$736.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.20 / $376.50 / $407.88	Professional		$179.20	$376.50	$407.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.60 / $388.00 / $694.20	Professional		$309.60	$388.00	$694.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.82 / $355.35 / $736.08	Facility		$253.82	$355.35	$736.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $367.66 / $715.95	Professional		$128.35	$367.66	$715.95
United Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $377.02 / $476.51	Professional		$162.90	$377.02	$476.51