Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $205.56 / $409.32	Professional		$101.08	$205.56	$409.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $82.35 / $133.87	Professional		$50.00	$82.35	$133.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.97 / $181.79 / $329.83	Facility		$115.97	$181.79	$329.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.95 / $307.39 / $442.00	Professional		$191.95	$307.39	$442.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $304.70 / $552.50	Professional		$150.75	$304.70	$552.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.63 / $205.56 / $491.18	Facility		$80.63	$205.56	$491.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $239.70 / $482.90	Professional		$116.00	$239.70	$482.90
United Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $342.74 / $389.88	Professional		$119.28	$342.74	$389.88