Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.68 / $479.19 / $638.92	Facility		$420.68	$479.19	$638.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.43 / $219.13 / $511.14	Professional		$154.43	$219.13	$511.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.80 / $372.45 / $862.90	Professional		$196.80	$372.45	$862.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.59 / $448.72 / $715.60	Facility		$226.59	$448.72	$715.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $432.63 / $573.15 / $1,001.51	Professional		$432.63	$573.15	$1,001.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.26 / $448.72 / $715.60	Facility		$199.26	$448.72	$715.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.14 / $401.28 / $573.24	Professional		$209.14	$401.28	$573.24
United Facility/Professional Professional Modifier Low / Median / High Price $508.46 / $626.46 / $765.29	Professional		$508.46	$626.46	$765.29