Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $172.75 / $358.89	Professional		$100.25	$172.75	$358.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $105.43 / $157.15	Professional		$80.67	$105.43	$157.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.17 / $154.22 / $336.95	Facility		$116.17	$154.22	$336.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $334.88 / $427.67	Professional		$262.70	$334.88	$427.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $271.50 / $502.25	Professional		$150.40	$271.50	$502.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $172.75 / $430.67	Facility		$81.09	$172.75	$430.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.43 / $243.95 / $466.25	Professional		$105.43	$243.95	$466.25
United Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $322.20 / $527.88	Professional		$121.84	$322.20	$527.88