Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $180.86 / $368.79	Professional		$164.42	$180.86	$368.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Professional		$219.62	$219.62	$219.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $352.68 / $352.68 / $352.68	Facility		$352.68	$352.68	$352.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $529.42	Professional		$164.42	$164.42	$529.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.60 / $313.60 / $492.80	Facility		$313.60	$313.60	$492.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.49 / $352.68 / $717.72	Facility		$304.49	$352.68	$717.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $178.39 / $219.62	Professional		$178.39	$178.39	$219.62
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $167.25 / $235.16	Professional		$164.42	$167.25	$235.16