Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $73.65 / $144.87	Professional		$55.47	$73.65	$144.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $137.08 / $268.07	Professional		$68.48	$137.08	$268.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.14 / $144.87 / $310.97	Facility		$123.14	$144.87	$310.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.48 / $210.57 / $379.75	Professional		$175.48	$210.57	$379.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.19 / $217.00 / $282.10	Professional		$172.19	$217.00	$282.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $144.87 / $310.97	Facility		$78.09	$144.87	$310.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $195.16 / $297.29	Professional		$86.60	$195.16	$297.29
United Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $214.46 / $282.01	Professional		$77.56	$214.46	$282.01