Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.58 / $295.58 / $295.58	Professional		$295.58	$295.58	$295.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.86 / $166.86 / $166.86	Facility		$166.86	$166.86	$166.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $397.30	Professional		$158.91	$158.91	$397.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.87 / $237.61 / $373.38	Facility		$140.87	$237.61	$373.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $186.69 / $203.66	Professional		$140.87	$186.69	$203.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.86 / $166.86 / $339.44	Facility		$166.86	$166.86	$339.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $172.41 / $186.69	Professional		$140.87	$172.41	$186.69
United Facility/Professional Professional Modifier Low / Median / High Price $222.49 / $238.38 / $476.76	Professional		$222.49	$238.38	$476.76