Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $211.34 / $317.00	Professional		$184.00	$211.34	$317.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $453.31 / $453.31 / $453.31	Facility		$453.31	$453.31	$453.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $207.32 / $207.32	Professional		$207.32	$207.32	$207.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.42 / $319.42 / $501.95	Facility		$319.42	$319.42	$501.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.42 / $453.31 / $752.93	Facility		$319.42	$453.31	$752.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $207.32 / $248.63	Professional		$207.32	$207.32	$248.63