Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $95.33 / $186.01	Professional		$88.72	$95.33	$186.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $123.49 / $280.50	Professional		$83.71	$123.49	$280.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $186.01 / $539.42	Facility		$74.40	$186.01	$539.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $789.82 / $1,787.70	Professional		$74.48	$789.82	$1,787.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.40 / $291.20 / $464.58	Professional		$178.40	$291.20	$464.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.46 / $186.01 / $539.42	Facility		$82.46	$186.01	$539.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $276.66 / $448.00	Professional		$106.40	$276.66	$448.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $222.99 / $553.34	Professional		$91.83	$222.99	$553.34