Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $316.23 / $426.58	Facility		$263.03	$316.23	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $251.19	Professional		$104.71	$141.25	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $457.09	Professional		$354.81	$354.81	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $426.58	Facility		$295.12	$295.12	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $407.38 / $489.78	Professional		$131.83	$407.38	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $501.19	Professional		$371.54	$371.54	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $426.58	Facility		$295.12	$295.12	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $457.09	Professional		$60.26	$125.89	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $363.08 / $549.54	Professional		$147.91	$363.08	$549.54