Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $93.42 / $138.15	Professional		$84.93	$93.42	$138.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.55 / $197.55 / $197.55	Facility		$197.55	$197.55	$197.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $102.41 / $146.30	Professional		$102.41	$102.41	$146.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $225.13	Facility		$143.26	$143.26	$225.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $197.55 / $337.69	Facility		$143.26	$197.55	$337.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $146.30	Professional		$86.98	$86.98	$146.30
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $127.91 / $172.01	Professional		$85.27	$127.91	$172.01