Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $123.89 / $238.78	Professional		$103.36	$123.89	$238.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $224.16 / $434.63	Professional		$113.34	$224.16	$434.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.96 / $238.78 / $504.17	Facility		$202.96	$238.78	$504.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $287.88 / $345.45 / $623.00	Professional		$287.88	$345.45	$623.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.60 / $356.00 / $456.30	Professional		$281.60	$356.00	$456.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $238.78 / $504.17	Facility		$170.48	$238.78	$504.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $320.32 / $482.24	Professional		$143.26	$320.32	$482.24
United Facility/Professional Professional Modifier Low / Median / High Price $134.27 / $347.70 / $521.54	Professional		$134.27	$347.70	$521.54