Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.92 / $273.80 / $365.13	Facility		$231.92	$273.80	$365.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $132.62 / $257.70	Professional		$101.65	$132.62	$257.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.88 / $349.93 / $443.81	Professional		$342.88	$349.93	$443.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.51 / $368.51 / $368.51	Facility		$368.51	$368.51	$368.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $385.26 / $413.51	Professional		$174.33	$385.26	$413.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.54 / $397.00 / $496.25	Professional		$325.54	$397.00	$496.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.51 / $368.51 / $368.51	Facility		$368.51	$368.51	$368.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $349.93 / $605.16	Professional		$174.33	$349.93	$605.16
United Facility/Professional Professional Modifier Low / Median / High Price $147.50 / $355.04 / $532.55	Professional		$147.50	$355.04	$532.55