Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $106.09 / $218.90	Professional		$79.38	$106.09	$218.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $194.79 / $387.84	Professional		$90.82	$194.79	$387.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.09 / $194.85 / $306.45	Facility		$106.09	$194.85	$306.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $300.48 / $524.07	Professional		$230.48	$300.48	$524.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.85 / $268.85 / $3,495.87	Facility		$268.85	$268.85	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.35 / $285.00 / $382.80	Professional		$207.35	$285.00	$382.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.47 / $194.85 / $306.45	Facility		$102.47	$194.85	$306.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $265.05 / $387.15	Professional		$133.47	$265.05	$387.15
United Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $310.27 / $352.80	Professional		$265.33	$310.27	$352.80