Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $95.37 / $136.86	Professional		$90.66	$95.37	$136.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $81.58 / $124.24	Professional		$32.82	$81.58	$124.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $95.37 / $136.86	Facility		$37.54	$95.37	$136.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.78 / $232.89 / $251.28	Professional		$119.78	$232.89	$251.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $128.80 / $311.85	Professional		$64.90	$128.80	$311.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $95.37 / $136.86	Facility		$37.54	$95.37	$136.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $101.20 / $252.20	Professional		$59.00	$101.20	$252.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $142.22 / $155.72	Professional		$30.10	$142.22	$155.72