Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.47 / $702.81 / $753.30	Facility		$378.47	$702.81	$753.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.56 / $495.96 / $654.66	Professional		$413.56	$495.96	$654.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Facility		$233.36	$233.36	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $314.45 / $340.55	Professional		$233.36	$314.45	$340.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.58 / $117.58 / $117.58	Facility		$117.58	$117.58	$117.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $366.38 / $550.02 / $868.46	Professional		$366.38	$550.02	$868.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.70 / $337.70 / $565.40	Facility		$337.70	$337.70	$565.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.57 / $565.40 / $1,165.95	Professional		$405.57	$565.40	$1,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.58 / $117.58 / $260.26	Facility		$117.58	$117.58	$260.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $331.95 / $659.05	Professional		$248.77	$331.95	$659.05
United Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $553.61 / $722.10	Professional		$279.83	$553.61	$722.10