Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $1,071.52	Professional		$407.38	$416.87	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,548.82	Facility		$1,071.52	$1,071.52	$1,548.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $371.54 / $1,071.52	Professional		$61.66	$371.54	$1,071.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $331.13	Professional		$229.09	$245.47	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,548.82	Facility		$1,071.52	$1,071.52	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $194.98	Professional		$61.66	$87.10	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $870.96 / $1,318.26	Professional		$104.71	$870.96	$1,318.26