Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $316.23	Professional		$147.91	$275.42	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $323.59 / $323.59	Facility		$275.42	$323.59	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $1,096.48	Professional		$245.47	$323.59	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $275.42	Facility		$120.23	$194.98	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $245.47	Professional		$60.26	$151.36	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $831.76	Professional		$263.03	$537.03	$831.76