Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.08 / $413.26 / $413.26	Professional		$254.08	$413.26	$413.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.96 / $590.96 / $590.96	Facility		$590.96	$590.96	$590.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $63.18 / $90.25	Professional		$63.18	$63.18	$90.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.57 / $428.57 / $673.46	Facility		$428.57	$428.57	$673.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $408.16 / $583.08 / $962.08	Facility		$408.16	$583.08	$962.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $90.25 / $260.20	Professional		$63.18	$90.25	$260.20
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $382.65 / $514.59	Professional		$255.10	$382.65	$514.59