Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $131.83	Professional		$67.61	$87.10	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $269.15	Professional		$67.61	$104.71	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $104.71 / $229.09	Facility		$69.18	$104.71	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $316.23	Professional		$125.89	$204.17	$316.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $354.81	Professional		$123.03	$213.80	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $128.82 / $229.09	Facility		$69.18	$128.82	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $269.15	Professional		$67.61	$114.82	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $218.78 / $239.88	Professional		$72.44	$218.78	$239.88