Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $138.04	Professional		$67.61	$102.33	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $104.71 / $186.21	Facility		$72.44	$104.71	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $295.12 / $371.54	Professional		$102.33	$295.12	$371.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $398.11 / $467.74	Professional		$141.25	$398.11	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $104.71 / $186.21	Facility		$75.86	$104.71	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $144.54	Professional		$60.26	$95.50	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $363.08	Professional		$162.18	$288.40	$363.08