Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.01 / $128.24 / $279.79	Professional		$117.01	$128.24	$279.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.28 / $189.49 / $412.89	Professional		$114.28	$189.49	$412.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.81 / $278.36 / $507.79	Facility		$116.81	$278.36	$507.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $293.55 / $378.09 / $879.07	Professional		$293.55	$378.09	$879.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $456.30 / $702.00	Professional		$280.00	$456.30	$702.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.04 / $278.36 / $389.70	Facility		$157.04	$278.36	$389.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $357.39 / $700.00	Professional		$144.44	$357.39	$700.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $350.20 / $831.73	Professional		$119.28	$350.20	$831.73