Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $363.08	Professional		$169.82	$177.83	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $524.81	Facility		$363.08	$363.08	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $501.19	Professional		$363.08	$467.74	$501.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $741.31 / $741.31	Professional		$707.95	$741.31	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $524.81	Facility		$363.08	$363.08	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $144.54 / $269.15	Professional		$60.26	$144.54	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $562.34 / $707.95	Professional		$302.00	$562.34	$707.95