Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $78.66 / $165.51	Professional		$65.64	$78.66	$165.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $49.03 / $113.30	Professional		$35.00	$49.03	$113.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.65 / $112.05 / $231.71	Facility		$70.65	$112.05	$231.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $207.83 / $257.00	Professional		$117.80	$207.83	$257.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $146.19 / $321.25	Professional		$101.12	$146.19	$321.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.14 / $112.34 / $217.71	Facility		$70.14	$112.34	$217.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $133.56 / $267.50	Professional		$51.00	$133.56	$267.50
United Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $238.92 / $477.84	Professional		$100.67	$238.92	$477.84