Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.91 / $249.91 / $252.97	Facility		$249.91	$249.91	$252.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $176.38 / $178.54	Professional		$104.79	$176.38	$178.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.29 / $292.68 / $792.60	Professional		$171.29	$292.68	$792.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.38 / $246.93 / $446.31	Facility		$176.38	$246.93	$446.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $255.21 / $278.11	Professional		$172.54	$255.21	$278.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.02 / $267.68 / $478.11	Professional		$214.02	$267.68	$478.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.38 / $246.93 / $446.31	Facility		$176.38	$246.93	$446.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.16 / $268.60 / $584.60	Professional		$112.16	$268.60	$584.60
United Facility/Professional Professional Modifier Low / Median / High Price $129.99 / $307.62 / $387.38	Professional		$129.99	$307.62	$387.38