Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $106.07 / $187.17	Professional		$68.34	$106.07	$187.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $251.21 / $402.07	Professional		$126.68	$251.21	$402.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.28 / $174.95 / $299.35	Facility		$95.28	$174.95	$299.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $304.54 / $423.36	Professional		$184.37	$304.54	$423.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $227.00 / $375.90	Professional		$132.22	$227.00	$375.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.28 / $188.93 / $304.42	Facility		$95.28	$188.93	$304.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $215.65 / $381.25	Professional		$117.47	$215.65	$381.25
United Facility/Professional Professional Modifier Low / Median / High Price $321.66 / $361.73 / $418.32	Professional		$321.66	$361.73	$418.32