Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.89 / $298.89 / $332.10	Facility		$298.89	$298.89	$332.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $314.87 / $415.62	Professional		$127.84	$314.87	$415.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $214.16	Facility		$214.16	$214.16	$214.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $214.16 / $251.13	Professional		$156.34	$214.16	$251.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.04 / $181.73 / $296.01	Facility		$142.04	$181.73	$296.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $349.18 / $395.12 / $551.34	Professional		$349.18	$395.12	$551.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.95 / $364.20 / $364.20	Facility		$358.95	$364.20	$364.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.82 / $358.95 / $740.20	Professional		$290.82	$358.95	$740.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.66 / $195.96 / $305.62	Facility		$142.66	$195.96	$305.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.16 / $296.91 / $487.40	Professional		$214.16	$296.91	$487.40
United Facility/Professional Facility Modifier Low / Median / High Price $154.24 / $165.61 / $165.61	Facility		$154.24	$165.61	$165.61
United Facility/Professional Professional Modifier Low / Median / High Price $177.65 / $351.46 / $458.43	Professional		$177.65	$351.46	$458.43