Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $275.42	Professional		$109.65	$128.82	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $489.78	Professional		$131.83	$204.17	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $302.00	Facility		$120.23	$194.98	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $724.44	Professional		$245.47	$389.05	$724.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $501.19	Professional		$323.59	$389.05	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $204.17 / $363.08	Facility		$138.04	$204.17	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $478.63	Professional		$79.43	$204.17	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $407.38 / $467.74	Professional		$134.90	$407.38	$467.74