Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.53 / $342.53 / $342.53	Professional		$342.53	$342.53	$342.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.00 / $370.00 / $377.48	Professional		$370.00	$370.00	$377.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.82 / $489.82 / $489.82	Facility		$489.82	$489.82	$489.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $105.74 / $151.05	Professional		$105.74	$105.74	$151.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.25 / $421.20 / $572.79	Professional		$391.25	$421.20	$572.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.27 / $469.27 / $489.82	Facility		$469.27	$469.27	$489.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $413.40 / $904.40	Professional		$151.05	$413.40	$904.40
United Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $307.95 / $530.67	Professional		$296.00	$307.95	$530.67