Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $127.89 / $226.39	Professional		$100.50	$127.89	$226.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.72	Professional		$107.43	$107.43	$107.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.27 / $144.34 / $316.95	Facility		$99.27	$144.34	$316.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.90 / $350.31 / $396.55	Professional		$172.90	$350.31	$396.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.26 / $291.20 / $546.00	Professional		$164.26	$291.20	$546.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.50 / $163.22 / $316.95	Facility		$100.50	$163.22	$316.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $259.17 / $594.00	Professional		$121.03	$259.17	$594.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.30 / $362.22 / $455.87	Professional		$309.30	$362.22	$455.87