Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $229.09	Professional		$223.87	$223.87	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $338.84 / $338.84	Professional		$134.90	$338.84	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $218.78 / $302.00	Facility		$120.23	$218.78	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $302.00 / $446.68	Professional		$151.36	$302.00	$446.68