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 $223.87 / $331.13 / $831.76	Facility		$223.87	$331.13	$831.76
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 $204.17 / $275.42 / $537.03	Facility		$204.17	$275.42	$537.03
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 $524.81 / $794.33 / $1,698.24	Professional		$524.81	$794.33	$1,698.24