Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $186.21	Professional		$83.18	$112.20	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $97.72	Professional		$87.10	$87.10	$97.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $114.82 / $141.25	Facility		$74.13	$114.82	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $457.09	Professional		$102.33	$199.53	$457.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $363.08 / $446.68	Professional		$112.20	$363.08	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $83.18 / $141.25	Facility		$64.57	$83.18	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $97.72	Professional		$87.10	$87.10	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $239.88 / $407.38	Professional		$87.10	$239.88	$407.38