Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.43 / $215.23 / $374.68	Professional		$171.43	$215.23	$374.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $264.07 / $374.68 / $839.67	Facility		$264.07	$374.68	$839.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $458.28 / $597.75 / $924.25	Professional		$458.28	$597.75	$924.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.01 / $826.20 / $1,099.56	Professional		$453.01	$826.20	$1,099.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.07 / $374.68 / $839.67	Facility		$264.07	$374.68	$839.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $542.70 / $1,032.50	Professional		$183.31	$542.70	$1,032.50
United Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $579.08 / $1,158.16	Professional		$280.50	$579.08	$1,158.16