Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.38 / $535.99 / $836.78	Facility		$250.38	$535.99	$836.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $137.06 / $303.06	Professional		$123.35	$137.06	$303.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $328.11 / $328.11 / $529.38	Facility		$328.11	$328.11	$529.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $397.22	Professional		$123.36	$123.36	$397.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.66 / $219.04 / $344.21	Facility		$172.66	$219.04	$344.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.54 / $297.92 / $491.57	Facility		$208.54	$297.92	$491.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $133.84	Professional		$123.36	$123.36	$133.84
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $185.04 / $248.84	Professional		$123.36	$185.04	$248.84