Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $80.20 / $168.18	Professional		$64.05	$80.20	$168.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $70.00 / $113.30	Professional		$39.00	$70.00	$113.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.93 / $137.36 / $235.45	Facility		$75.93	$137.36	$235.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $108.78 / $148.10	Professional		$93.71	$108.78	$148.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.15 / $153.00 / $317.80	Professional		$102.15	$153.00	$317.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.62 / $141.66 / $193.41	Facility		$75.62	$141.66	$193.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $123.42 / $272.39	Professional		$50.00	$123.42	$272.39
United Facility/Professional Professional Modifier Low / Median / High Price $192.44 / $213.82 / $427.64	Professional		$192.44	$213.82	$427.64