Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $371.54	Professional		$194.98	$234.42	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $831.76	Professional		$776.25	$776.25	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $309.03 / $776.25	Facility		$213.80	$309.03	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $776.25	Professional		$194.98	$223.87	$776.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $1,174.90	Professional		$741.31	$812.83	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $512.86	Facility		$181.97	$275.42	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $831.76	Professional		$776.25	$776.25	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,318.26	Professional		$407.38	$616.60	$1,318.26