Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $234.42	Professional		$87.10	$109.65	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $346.74	Professional		$95.50	$144.54	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $288.40	Facility		$104.71	$169.82	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $602.56	Professional		$204.17	$281.84	$602.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $588.84	Professional		$239.88	$407.38	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $162.18 / $288.40	Facility		$112.20	$162.18	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $141.25 / $346.74	Professional		$60.26	$141.25	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $295.12 / $758.58	Professional		$95.50	$295.12	$758.58