Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $309.03	Professional		$128.82	$173.78	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $436.52	Facility		$309.03	$309.03	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $309.03	Professional		$60.26	$125.89	$309.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $977.24	Professional		$660.69	$707.95	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $436.52	Facility		$309.03	$309.03	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $151.36	Professional		$60.26	$125.89	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $416.87	Professional		$194.98	$275.42	$416.87