Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.48 / $605.48 / $605.48	Professional		$605.48	$605.48	$605.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $865.84 / $865.84 / $865.84	Facility		$865.84	$865.84	$865.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $108.78	Professional		$76.14	$76.14	$108.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $133.00 / $209.00	Facility		$133.00	$133.00	$209.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $190.00 / $865.84	Facility		$133.00	$190.00	$865.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $108.78 / $381.23	Professional		$76.14	$108.78	$381.23
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $585.00 / $786.71	Professional		$390.00	$585.00	$786.71