Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.72 / $279.64 / $504.34	Facility		$209.72	$279.64	$504.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $125.35 / $283.39	Professional		$82.37	$125.35	$283.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $278.30 / $741.87	Professional		$159.81	$278.30	$741.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $233.03 / $326.24 / $675.79	Facility		$233.03	$326.24	$675.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.18 / $341.58 / $370.05	Professional		$139.18	$341.58	$370.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.98 / $352.00 / $526.88	Professional		$234.98	$352.00	$526.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.03 / $326.24 / $675.79	Facility		$233.03	$326.24	$675.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $278.30 / $544.64	Professional		$103.75	$278.30	$544.64
United Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $288.27 / $362.58	Professional		$126.29	$288.27	$362.58