Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $758.58	Facility		$309.03	$363.08	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $331.13	Professional		$154.88	$208.93	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $537.03 / $1,445.44	Professional		$251.19	$537.03	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $758.58	Facility		$204.17	$323.59	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $389.05 / $794.33	Professional		$169.82	$389.05	$794.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $457.09 / $891.25	Professional		$416.87	$457.09	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $323.59 / $512.86	Facility		$213.80	$323.59	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $251.19 / $645.65	Professional		$79.43	$251.19	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $436.52 / $630.96	Professional		$173.78	$436.52	$630.96