Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $244.86	Professional		$163.24	$163.24	$244.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $350.15 / $350.15 / $350.15	Facility		$350.15	$350.15	$350.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $94.10 / $134.43	Professional		$94.10	$94.10	$134.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.25 / $316.25 / $316.25	Professional		$316.25	$316.25	$316.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.15 / $350.15 / $350.15	Facility		$350.15	$350.15	$350.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $179.39 / $316.25	Professional		$94.10	$179.39	$316.25
United Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $164.98 / $192.05	Professional		$164.98	$164.98	$192.05