Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $501.19 / $501.19	Professional		$223.87	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $269.15 / $354.81	Facility		$234.42	$269.15	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,174.90 / $1,174.90	Facility		$380.19	$1,174.90	$1,174.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,174.90 / $1,258.93	Professional		$380.19	$1,174.90	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $269.15 / $338.84	Facility		$218.78	$269.15	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,621.81	Professional		$660.69	$660.69	$1,621.81