Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $275.42 / $323.59	Professional		$251.19	$275.42	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $426.58	Professional		$22.91	$22.91	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $275.42 / $380.19	Facility		$251.19	$275.42	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $323.59	Professional		$251.19	$263.03	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $275.42 / $398.11	Facility		$251.19	$275.42	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $79.43 / $79.43	Professional		$13.18	$79.43	$79.43