Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $91.63 / $200.98	Professional		$87.67	$91.63	$200.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $136.49 / $297.66	Professional		$82.15	$136.49	$297.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.77 / $200.98 / $558.00	Facility		$83.77	$200.98	$558.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.88 / $263.70 / $635.36	Professional		$211.88	$263.70	$635.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.20 / $328.90 / $504.00	Professional		$203.20	$328.90	$504.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.65 / $200.98 / $281.37	Facility		$114.65	$200.98	$281.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $256.41 / $478.80	Professional		$103.76	$256.41	$478.80
United Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $253.68 / $703.48	Professional		$87.77	$253.68	$703.48