Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.56 / $554.84 / $554.84	Professional		$268.56	$554.84	$554.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $66.81 / $66.81	Professional		$66.81	$66.81	$66.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.01 / $265.14 / $455.90	Facility		$127.01	$265.14	$455.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $49.05 / $49.05	Professional		$49.05	$49.05	$49.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $190.30 / $504.30	Professional		$33.72	$190.30	$504.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.01 / $265.14 / $455.90	Facility		$127.01	$265.14	$455.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $61.42 / $66.81	Professional		$36.43	$61.42	$66.81
United Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $23.15 / $54.40	Professional		$20.23	$23.15	$54.40