Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $121.28 / $230.72	Professional		$97.21	$121.28	$230.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $89.93 / $262.93	Professional		$67.31	$89.93	$262.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $128.00 / $230.72	Facility		$59.70	$128.00	$230.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.75 / $253.26 / $305.76	Professional		$145.75	$253.26	$305.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $175.00 / $352.35	Professional		$119.28	$175.00	$352.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $128.00 / $230.72	Facility		$59.70	$128.00	$230.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $139.69 / $367.50	Professional		$89.93	$139.69	$367.50
United Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $219.38 / $241.00	Professional		$70.34	$219.38	$241.00