Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.14 / $367.14 / $367.14	Professional		$367.14	$367.14	$367.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $525.01 / $525.01 / $525.01	Facility		$525.01	$525.01	$525.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $271.23 / $537.60 / $577.02	Professional		$271.23	$537.60	$577.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.75 / $746.55 / $746.55	Professional		$713.75	$746.55	$746.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $525.01 / $525.01 / $525.01	Facility		$525.01	$525.01	$525.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $271.23	Professional		$164.86	$164.86	$271.23
United Facility/Professional Professional Modifier Low / Median / High Price $302.45 / $559.54 / $702.82	Professional		$302.45	$559.54	$702.82