Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.53 / $332.08 / $442.76	Facility		$145.53	$332.08	$442.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $170.69 / $344.34	Professional		$130.84	$170.69	$344.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.80 / $445.78 / $572.73	Professional		$395.80	$445.78	$572.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $506.52 / $506.52 / $506.52	Facility		$506.52	$506.52	$506.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.25 / $525.96 / $564.53	Professional		$223.25	$525.96	$564.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.00 / $447.96 / $677.50	Professional		$439.00	$447.96	$677.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $506.52 / $506.52 / $506.52	Facility		$506.52	$506.52	$506.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.25 / $447.45 / $774.08	Professional		$223.25	$447.45	$774.08
United Facility/Professional Professional Modifier Low / Median / High Price $188.89 / $458.18 / $687.27	Professional		$188.89	$458.18	$687.27