Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $136.63 / $390.53	Professional		$116.67	$136.63	$390.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.43 / $246.26 / $425.46	Professional		$105.43	$246.26	$425.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $390.53 / $558.46	Facility		$47.43	$390.53	$558.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $190.00 / $190.00	Professional		$133.00	$190.00	$190.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $580.00 / $846.41	Professional		$360.00	$580.00	$846.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $390.53 / $558.46	Facility		$47.43	$390.53	$558.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $600.00 / $987.70	Professional		$65.28	$600.00	$987.70
United Facility/Professional Professional Modifier Low / Median / High Price $118.74 / $120.44 / $394.62	Professional		$118.74	$120.44	$394.62