Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $397.54 / $413.87	Professional		$328.00	$397.54	$413.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Professional		$175.28	$175.28	$175.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.01 / $328.00 / $397.54	Facility		$259.01	$328.00	$397.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $327.38 / $344.61 / $462.56	Professional		$327.38	$344.61	$462.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.39 / $336.53 / $404.16	Professional		$246.39	$336.53	$404.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.61 / $328.00 / $397.54	Facility		$316.61	$328.00	$397.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $247.95 / $403.84	Professional		$175.28	$247.95	$403.84
United Facility/Professional Professional Modifier Low / Median / High Price $170.70 / $182.18 / $881.27	Professional		$170.70	$182.18	$881.27