Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $204.78 / $204.78	Professional		$80.93	$204.78	$204.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.76 / $198.76 / $221.01	Professional		$198.76	$198.76	$221.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $292.83 / $292.83 / $292.83	Facility		$292.83	$292.83	$292.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $69.83 / $99.75	Professional		$69.83	$69.83	$99.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.75 / $279.45 / $378.81	Professional		$258.75	$279.45	$378.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.83 / $292.83 / $292.83	Facility		$292.83	$292.83	$292.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $262.50 / $479.85	Professional		$99.75	$262.50	$479.85
United Facility/Professional Professional Modifier Low / Median / High Price $175.60 / $183.98 / $277.14	Professional		$175.60	$183.98	$277.14