Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $138.43 / $238.76	Professional		$106.58	$138.43	$238.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.76 / $238.76 / $334.26	Facility		$238.76	$238.76	$334.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.83 / $377.49 / $411.38	Professional		$210.83	$377.49	$411.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.12 / $525.15 / $694.37	Professional		$300.12	$525.15	$694.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.76 / $238.76 / $334.26	Facility		$238.76	$238.76	$334.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $362.90 / $717.60	Professional		$115.76	$362.90	$717.60
United Facility/Professional Professional Modifier Low / Median / High Price $331.64 / $375.76 / $751.52	Professional		$331.64	$375.76	$751.52