Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.72 / $313.69 / $418.32	Facility		$265.72	$313.69	$418.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $138.19 / $278.77	Professional		$105.76	$138.19	$278.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.85 / $457.93 / $457.93	Professional		$356.85	$457.93	$457.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $422.19 / $422.19 / $422.19	Facility		$422.19	$422.19	$422.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.45 / $445.41 / $478.07	Professional		$181.45	$445.41	$478.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.56 / $386.25 / $573.75	Professional		$375.56	$386.25	$573.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.19 / $422.19 / $422.19	Facility		$422.19	$422.19	$422.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.45 / $386.25 / $631.40	Professional		$181.45	$386.25	$631.40
United Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $366.34 / $549.51	Professional		$157.59	$366.34	$549.51