Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $134.90	Professional		$67.61	$102.33	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $645.65	Professional		$91.20	$138.04	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $131.83 / $223.87	Facility		$77.62	$131.83	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $213.80	Professional		$83.18	$102.33	$213.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $354.81 / $501.19	Professional		$173.78	$354.81	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $138.04 / $234.42	Facility		$77.62	$138.04	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $309.03	Professional		$91.20	$131.83	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $263.03	Professional		$83.18	$141.25	$263.03