Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $193.48 / $961.47	Professional		$157.72	$193.48	$961.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $121.37 / $276.68	Facility		$121.37	$121.37	$276.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $316.58 / $1,073.03	Professional		$316.58	$316.58	$1,073.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.43 / $325.43 / $325.43	Professional		$325.43	$325.43	$325.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $121.37 / $276.68	Facility		$121.37	$121.37	$276.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $277.08 / $291.79	Professional		$153.00	$277.08	$291.79
United Facility/Professional Professional Modifier Low / Median / High Price $332.27 / $554.16 / $831.24	Professional		$332.27	$554.16	$831.24