Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $133.31 / $262.37	Professional		$113.25	$133.31	$262.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.70 / $245.88 / $478.74	Professional		$124.70	$245.88	$478.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.01 / $262.37 / $555.32	Facility		$223.01	$262.37	$555.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $380.40 / $686.00	Professional		$317.00	$380.40	$686.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.39 / $392.00 / $518.70	Professional		$310.39	$392.00	$518.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.87 / $262.37 / $555.32	Facility		$193.87	$262.37	$555.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.68 / $354.63 / $530.19	Professional		$158.68	$354.63	$530.19
United Facility/Professional Professional Modifier Low / Median / High Price $133.52 / $382.98 / $574.47	Professional		$133.52	$382.98	$574.47