Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $244.47 / $365.83	Professional		$156.16	$244.47	$365.83
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 $349.59 / $349.59 / $349.59	Facility		$349.59	$349.59	$349.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $524.79	Professional		$162.97	$162.97	$524.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.34 / $285.39 / $448.49	Facility		$226.34	$285.39	$448.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $349.59 / $646.87	Facility		$216.74	$349.59	$646.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.81 / $176.81 / $203.81	Professional		$176.81	$176.81	$203.81
United Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $218.36	Professional		$162.97	$162.97	$218.36