Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $135.66 / $239.38	Professional		$123.34	$135.66	$239.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $342.31 / $342.31 / $342.31	Facility		$342.31	$342.31	$342.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $76.81 / $109.73	Professional		$76.81	$76.81	$109.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.75 / $359.10 / $635.25	Professional		$288.75	$359.10	$635.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.95 / $327.95 / $342.31	Facility		$327.95	$327.95	$342.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.75 / $348.00 / $635.25	Professional		$288.75	$348.00	$635.25
United Facility/Professional Professional Modifier Low / Median / High Price $99.46 / $401.10 / $1,530.12	Professional		$99.46	$401.10	$1,530.12