Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.28 / $215.28 / $215.28	Professional		$215.28	$215.28	$215.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $82.61 / $307.85	Facility		$82.61	$82.61	$307.85
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 / $311.85 / $462.00	Professional		$288.75	$311.85	$462.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.28 / $294.93 / $307.85	Facility		$215.28	$294.93	$307.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $331.49 / $524.37	Professional		$178.19	$331.49	$524.37
United Facility/Professional Professional Modifier Low / Median / High Price $199.28 / $303.52 / $655.26	Professional		$199.28	$303.52	$655.26