Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $168.23 / $326.07	Professional		$144.78	$168.23	$326.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.67 / $188.67 / $192.50	Professional		$188.67	$188.67	$192.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.09 / $190.89 / $456.50	Facility		$131.09	$190.89	$456.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $412.43 / $536.15 / $660.36	Professional		$412.43	$536.15	$660.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.19 / $451.25 / $910.35	Professional		$229.19	$451.25	$910.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $215.92 / $456.50	Facility		$149.94	$215.92	$456.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.93 / $338.20 / $786.25	Professional		$193.93	$338.20	$786.25
United Facility/Professional Professional Modifier Low / Median / High Price $431.31 / $463.90 / $583.83	Professional		$431.31	$463.90	$583.83