Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $164.59 / $181.06	Professional		$103.76	$164.59	$181.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.84 / $143.84 / $143.84	Facility		$143.84	$143.84	$143.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $156.62 / $156.62	Professional		$156.62	$156.62	$156.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.86 / $261.86 / $411.49	Facility		$261.86	$261.86	$411.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.59 / $100.59 / $100.59	Professional		$100.59	$100.59	$100.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.84 / $252.17 / $594.40	Facility		$143.84	$252.17	$594.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $156.69 / $187.09	Professional		$156.69	$156.69	$187.09