Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.64 / $307.64 / $688.44	Professional		$307.64	$307.64	$688.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $439.94 / $439.94 / $439.94	Facility		$439.94	$439.94	$439.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $124.88 / $124.88	Professional		$124.88	$124.88	$124.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.25 / $707.40 / $969.90	Professional		$481.25	$707.40	$969.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $439.94 / $439.94 / $439.94	Facility		$439.94	$439.94	$439.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $481.25 / $879.73	Professional		$124.88	$481.25	$879.73
United Facility/Professional Professional Modifier Low / Median / High Price $193.30 / $276.48 / $417.10	Professional		$193.30	$276.48	$417.10