Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $416.87 / $489.78	Facility		$371.54	$416.87	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $389.05	Professional		$295.12	$331.13	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $223.87 / $295.12	Facility		$151.36	$223.87	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $630.96	Professional		$416.87	$588.84	$630.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $489.78 / $489.78	Facility		$288.40	$489.78	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $660.69	Professional		$288.40	$489.78	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $223.87 / $281.84	Facility		$151.36	$223.87	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $758.58	Professional		$251.19	$251.19	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $691.83	Professional		$602.56	$602.56	$691.83