Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $198.21 / $270.30	Professional		$180.20	$198.21	$270.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $386.53 / $386.53 / $386.53	Facility		$386.53	$386.53	$386.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.34 / $129.34 / $184.78	Professional		$129.34	$129.34	$184.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.39 / $285.39 / $448.49	Facility		$285.39	$285.39	$448.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $274.43 / $386.53 / $646.87	Facility		$274.43	$386.53	$646.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.34 / $184.78 / $203.81	Professional		$129.34	$184.78	$203.81
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.36	Professional		$181.97	$181.97	$218.36