Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.79 / $366.79 / $366.79	Facility		$366.79	$366.79	$366.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $187.57 / $501.43	Professional		$157.46	$187.57	$501.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.14 / $501.43 / $717.04	Facility		$260.14	$501.43	$717.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.57 / $245.10 / $245.10	Professional		$171.57	$245.10	$245.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.67 / $769.50 / $1,006.20	Professional		$416.67	$769.50	$1,006.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.52 / $501.43 / $717.04	Facility		$192.52	$501.43	$717.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $619.20 / $954.60	Professional		$156.72	$619.20	$954.60
United Facility/Professional Professional Modifier Low / Median / High Price $276.26 / $373.30 / $568.02	Professional		$276.26	$373.30	$568.02