Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $123.70 / $240.46	Professional		$54.23	$123.70	$240.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $50.00 / $103.62	Professional		$41.59	$50.00	$103.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.79 / $104.00 / $174.54	Facility		$61.79	$104.00	$174.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $183.59 / $264.00	Professional		$108.40	$183.59	$264.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $162.80 / $330.00	Professional		$81.40	$162.80	$330.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $104.00 / $288.55	Facility		$43.30	$104.00	$288.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $136.94 / $288.20	Professional		$66.76	$136.94	$288.20
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $114.54 / $225.32	Professional		$54.00	$114.54	$225.32