Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $197.29 / $347.67	Professional		$154.65	$197.29	$347.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.78 / $347.67 / $780.71	Facility		$244.78	$347.67	$780.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $419.59 / $547.29 / $856.73	Professional		$419.59	$547.29	$856.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.86 / $761.40 / $1,006.74	Professional		$436.86	$761.40	$1,006.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.78 / $347.67 / $780.71	Facility		$244.78	$347.67	$780.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $501.36 / $1,004.64	Professional		$167.84	$501.36	$1,004.64
United Facility/Professional Professional Modifier Low / Median / High Price $191.55 / $538.41 / $1,076.83	Professional		$191.55	$538.41	$1,076.83