Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $159.59 / $314.92	Professional		$99.05	$159.59	$314.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $276.99 / $580.17	Professional		$119.75	$276.99	$580.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $249.50 / $440.89	Facility		$136.94	$249.50	$440.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $294.35 / $428.30 / $706.97	Professional		$294.35	$428.30	$706.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.90 / $343.90 / $3,495.87	Facility		$343.90	$343.90	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $397.10 / $556.79	Professional		$271.39	$397.10	$556.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.51 / $249.50 / $440.89	Facility		$128.51	$249.50	$440.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.36 / $348.65 / $562.12	Professional		$196.36	$348.65	$562.12
United Facility/Professional Professional Modifier Low / Median / High Price $382.62 / $442.90 / $498.26	Professional		$382.62	$442.90	$498.26