Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.78 / $116.46 / $229.79	Professional		$99.78	$116.46	$229.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.91 / $214.79 / $417.47	Professional		$108.91	$214.79	$417.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.32 / $229.79 / $484.27	Facility		$195.32	$229.79	$484.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $332.85 / $600.25	Professional		$277.38	$332.85	$600.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $341.00 / $438.10	Professional		$270.39	$341.00	$438.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $229.79 / $484.27	Facility		$163.94	$229.79	$484.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.55 / $308.70 / $461.69	Professional		$138.55	$308.70	$461.69
United Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $333.98 / $500.97	Professional		$119.88	$333.98	$500.97