Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $363.08	Professional		$125.89	$213.80	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $338.84 / $602.56	Facility		$199.53	$338.84	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $416.87	Professional		$112.20	$239.88	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $891.25 / $1,288.25	Professional		$537.03	$891.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $295.12 / $588.84	Facility		$165.96	$295.12	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $295.12 / $776.25	Professional		$79.43	$295.12	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $630.96 / $1,380.38	Professional		$208.93	$630.96	$1,380.38