Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $181.97	Professional		$162.18	$173.78	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $263.03 / $263.03	Professional		$104.71	$263.03	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $173.78 / $239.88	Facility		$93.33	$173.78	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $346.74	Professional		$117.49	$234.42	$346.74