Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $90.40 / $200.80	Professional		$71.41	$90.40	$200.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $136.84 / $349.09	Professional		$91.68	$136.84	$349.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.45 / $137.57 / $273.27	Facility		$82.45	$137.57	$273.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.51 / $262.02 / $319.75	Professional		$134.51	$262.02	$319.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $169.00 / $383.75	Professional		$114.75	$169.00	$383.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.04 / $137.57 / $253.97	Facility		$79.04	$137.57	$253.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $160.30 / $321.30	Professional		$99.45	$160.30	$321.30
United Facility/Professional Professional Modifier Low / Median / High Price $239.73 / $279.26 / $558.52	Professional		$239.73	$279.26	$558.52