Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $119.13 / $368.38	Professional		$103.76	$119.13	$368.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $212.60 / $395.89	Professional		$94.56	$212.60	$395.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.77 / $368.38 / $526.78	Facility		$83.77	$368.38	$526.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.36 / $173.38 / $173.38	Professional		$121.36	$173.38	$173.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.51 / $507.50 / $730.00	Professional		$328.51	$507.50	$730.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.77 / $368.38 / $526.78	Facility		$83.77	$368.38	$526.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.56 / $525.00 / $894.25	Professional		$107.56	$525.00	$894.25
United Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $207.11 / $390.44	Professional		$166.00	$207.11	$390.44