Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.81 / $273.81 / $273.81	Professional		$273.81	$273.81	$273.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $391.55 / $391.55 / $391.55	Facility		$391.55	$391.55	$391.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.95 / $283.95 / $446.20	Facility		$283.95	$283.95	$446.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.64 / $382.36 / $630.89	Facility		$267.64	$382.36	$630.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $240.85	Professional		$172.40	$172.40	$240.85
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $304.23 / $409.13	Professional		$202.82	$304.23	$409.13