Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $59.73 / $122.41	Professional		$41.90	$59.73	$122.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $106.48 / $227.95	Professional		$51.59	$106.48	$227.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.61 / $97.81 / $171.37	Facility		$55.61	$97.81	$171.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $167.44 / $272.58	Professional		$114.03	$167.44	$272.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $3,495.87	Facility		$134.90	$134.90	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $155.10 / $213.60	Professional		$107.61	$155.10	$213.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.52 / $97.81 / $171.37	Facility		$52.52	$97.81	$171.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $136.77 / $221.49	Professional		$75.83	$136.77	$221.49
United Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $173.34 / $195.01	Professional		$148.13	$173.34	$195.01