Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.05 / $64.16 / $125.21	Professional		$48.05	$64.16	$125.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $119.18 / $232.93	Professional		$59.33	$119.18	$232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.43 / $125.21 / $270.19	Facility		$106.43	$125.21	$270.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $182.43 / $329.00	Professional		$152.03	$182.43	$329.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.18 / $189.00 / $245.70	Professional		$149.18	$189.00	$245.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.02 / $125.21 / $270.19	Facility		$68.02	$125.21	$270.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $170.10 / $257.56	Professional		$75.02	$170.10	$257.56
United Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $186.34 / $234.52	Professional		$67.64	$186.34	$234.52