Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $201.29 / $312.02	Professional		$130.66	$201.29	$312.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Professional		$177.04	$177.04	$177.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.83 / $287.83 / $287.83	Facility		$287.83	$287.83	$287.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $432.09	Professional		$134.19	$134.19	$432.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.85 / $252.92 / $397.45	Facility		$220.85	$252.92	$397.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.01 / $287.83 / $578.79	Facility		$217.01	$287.83	$578.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.59 / $145.59 / $177.04	Professional		$145.59	$145.59	$177.04
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $195.02	Professional		$134.19	$134.19	$195.02