Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $67.79 / $166.89	Professional		$55.33	$67.79	$166.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $86.30 / $100.32	Professional		$86.30	$86.30	$100.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $62.94 / $166.89	Facility		$51.23	$62.94	$166.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $171.42 / $230.35	Professional		$129.72	$171.42	$230.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $153.75 / $257.50	Professional		$120.06	$153.75	$257.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $62.94 / $166.89	Facility		$51.23	$62.94	$166.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $134.55 / $249.60	Professional		$88.31	$134.55	$249.60
United Facility/Professional Professional Modifier Low / Median / High Price $236.04 / $236.04 / $499.38	Professional		$236.04	$236.04	$499.38