Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.15 / $517.15 / $1,168.31	Professional		$517.15	$517.15	$1,168.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $238.10 / $238.10	Professional		$238.10	$238.10	$238.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $739.52 / $739.52 / $739.52	Facility		$739.52	$739.52	$739.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $212.45 / $212.45	Professional		$212.45	$212.45	$212.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.75 / $1,188.00 / $1,630.53	Professional		$818.75	$1,188.00	$1,630.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $739.52 / $739.52 / $739.52	Facility		$739.52	$739.52	$739.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $818.75 / $1,496.68	Professional		$212.45	$818.75	$1,496.68
United Facility/Professional Professional Modifier Low / Median / High Price $328.86 / $469.20 / $703.80	Professional		$328.86	$469.20	$703.80