Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $147.91	Professional		$97.72	$97.72	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $117.49	Facility		$97.72	$97.72	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $316.23	Professional		$70.79	$97.72	$316.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $194.98	Facility		$123.03	$123.03	$194.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $208.93	Facility		$147.91	$147.91	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $107.15	Professional		$60.26	$95.50	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $102.33	Professional		$97.72	$97.72	$102.33