Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $117.83 / $192.94	Professional		$81.34	$117.83	$192.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $77.65 / $277.20	Professional		$62.67	$77.65	$277.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $143.78 / $202.98	Facility		$71.81	$143.78	$202.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $215.43 / $325.64	Professional		$143.96	$215.43	$325.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $162.00 / $348.30	Professional		$109.50	$162.00	$348.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $143.78 / $202.98	Facility		$76.95	$143.78	$202.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $149.04 / $331.50	Professional		$88.80	$149.04	$331.50
United Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $222.54 / $243.54	Professional		$79.97	$222.54	$243.54