Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $166.41 / $311.27	Professional		$71.66	$166.41	$311.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.07 / $440.07 / $440.07	Professional		$440.07	$440.07	$440.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.65 / $311.27 / $476.24	Facility		$103.65	$311.27	$476.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $185.90 / $293.79	Professional		$185.90	$185.90	$293.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.25 / $654.00 / $900.36	Professional		$245.25	$654.00	$900.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.25 / $311.27 / $476.24	Facility		$92.25	$311.27	$476.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.25 / $463.25 / $1,008.25	Professional		$245.25	$463.25	$1,008.25
United Facility/Professional Professional Modifier Low / Median / High Price $309.14 / $507.72 / $1,096.08	Professional		$309.14	$507.72	$1,096.08