Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.28 / $176.28 / $510.85	Professional		$176.28	$176.28	$510.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.52 / $730.52 / $730.52	Facility		$730.52	$730.52	$730.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.10 / $488.10 / $880.25	Professional		$264.10	$488.10	$880.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.75 / $699.30 / $1,695.80	Professional		$628.75	$699.30	$1,695.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $699.86 / $699.86 / $730.52	Facility		$699.86	$699.86	$730.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $394.65 / $817.50 / $1,695.80	Professional		$394.65	$817.50	$1,695.80
United Facility/Professional Professional Modifier Low / Median / High Price $214.36 / $659.19 / $2,514.67	Professional		$214.36	$659.19	$2,514.67