Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.51 / $206.51 / $206.51	Professional		$206.51	$206.51	$206.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.31 / $295.31 / $295.31	Facility		$295.31	$295.31	$295.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.40 / $371.40 / $530.58	Professional		$371.40	$371.40	$530.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.35 / $307.35 / $307.35	Professional		$307.35	$307.35	$307.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.31 / $295.31 / $295.31	Facility		$295.31	$295.31	$295.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $470.97 / $530.58	Professional		$143.26	$470.97	$530.58
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $3,255.30 / $4,377.72	Professional		$2,170.19	$3,255.30	$4,377.72