Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $60.51 / $133.68	Professional		$49.09	$60.51	$133.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $66.00 / $104.00	Professional		$39.00	$66.00	$104.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $88.00 / $187.15	Facility		$55.69	$88.00	$187.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $167.88 / $189.53	Professional		$85.50	$167.88	$189.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $113.10 / $224.90	Professional		$78.31	$113.10	$224.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.11 / $90.97 / $155.18	Facility		$55.11	$90.97	$155.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $97.35 / $204.70	Professional		$55.00	$97.35	$204.70
United Facility/Professional Professional Modifier Low / Median / High Price $150.35 / $172.14 / $344.28	Professional		$150.35	$172.14	$344.28