Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.71 / $175.33 / $351.12	Professional		$89.71	$175.33	$351.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.46 / $468.46 / $468.46	Professional		$468.46	$468.46	$468.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.56 / $351.12 / $537.21	Facility		$129.56	$351.12	$537.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.85 / $208.85 / $330.06	Professional		$208.85	$208.85	$330.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $721.25 / $1,027.18	Professional		$261.00	$721.25	$1,027.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.35 / $351.12 / $537.21	Facility		$115.35	$351.12	$537.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $493.00 / $1,073.00	Professional		$261.00	$493.00	$1,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.33 / $507.72 / $1,096.08	Professional		$399.33	$507.72	$1,096.08