Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $127.54 / $191.33	Professional		$119.00	$127.54	$191.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $273.60 / $273.60 / $273.60	Facility		$273.60	$273.60	$273.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $120.06 / $120.06	Professional		$55.53	$120.06	$120.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.65 / $200.65 / $315.30	Facility		$200.65	$200.65	$315.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.35 / $273.36 / $451.04	Facility		$191.35	$273.36	$451.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $79.33 / $134.47	Professional		$55.53	$79.33	$134.47
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $120.06 / $134.99	Professional		$120.06	$120.06	$134.99