Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $512.86	Professional		$218.78	$295.12	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $741.31	Facility		$512.86	$512.86	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $213.80 / $512.86	Professional		$60.26	$213.80	$512.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $1,621.81	Professional		$1,122.02	$1,174.90	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $741.31	Facility		$512.86	$512.86	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $213.80 / $257.04	Professional		$60.26	$213.80	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $707.95	Professional		$331.13	$467.74	$707.95