Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.03 / $235.56 / $1,170.59	Professional		$192.03	$235.56	$1,170.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Professional		$170.00	$170.00	$170.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.74 / $125.74 / $336.85	Facility		$125.74	$125.74	$336.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $385.43 / $385.43 / $1,306.42	Professional		$385.43	$385.43	$1,306.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.21 / $396.21 / $396.21	Professional		$396.21	$396.21	$396.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.74 / $125.74 / $336.85	Facility		$125.74	$125.74	$336.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $337.35 / $355.26	Professional		$170.00	$337.35	$355.26
United Facility/Professional Professional Modifier Low / Median / High Price $404.52 / $674.70 / $1,012.05	Professional		$404.52	$674.70	$1,012.05