Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $79.27 / $133.30	Professional		$62.26	$79.27	$133.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $67.12	Professional		$66.06	$66.06	$67.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.74 / $86.53 / $186.62	Facility		$60.74	$86.53	$186.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $215.43 / $233.38	Professional		$103.08	$215.43	$233.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $173.60 / $333.00	Professional		$101.45	$173.60	$333.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $96.24 / $186.62	Facility		$62.26	$96.24	$186.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $151.90 / $354.78	Professional		$73.41	$151.90	$354.78
United Facility/Professional Professional Modifier Low / Median / High Price $190.74 / $208.22 / $262.05	Professional		$190.74	$208.22	$262.05