Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $211.13	Professional		$140.75	$140.75	$211.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Professional		$161.82	$161.82	$161.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $301.92 / $301.92 / $301.92	Facility		$301.92	$301.92	$301.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $453.22	Professional		$140.75	$140.75	$453.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $233.07 / $366.26	Facility		$233.07	$233.07	$366.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $301.92 / $549.38	Facility		$233.07	$301.92	$549.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $152.69 / $161.82	Professional		$152.69	$152.69	$161.82
United Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $146.96 / $173.08	Professional		$144.47	$146.96	$173.08