Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $190.55	Professional		$72.44	$85.11	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $281.84	Professional		$79.43	$125.89	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $114.82 / $218.78	Facility		$81.28	$114.82	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $501.19	Professional		$177.83	$234.42	$501.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $478.63	Professional		$194.98	$346.74	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $123.03 / $204.17	Facility		$87.10	$123.03	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $281.84	Professional		$60.26	$114.82	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $234.42 / $562.34	Professional		$77.62	$234.42	$562.34