Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.51 / $185.51 / $185.51	Professional		$185.51	$185.51	$185.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $94.04 / $94.04	Professional		$94.04	$94.04	$94.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Facility		$39.86	$39.86	$39.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.59 / $306.63 / $332.18	Professional		$250.59	$306.63	$332.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.62 / $138.62 / $423.90	Facility		$138.62	$138.62	$423.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $397.80 / $596.70	Professional		$138.62	$397.80	$596.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Facility		$39.86	$39.86	$39.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $392.50 / $532.00	Professional		$94.04	$392.50	$532.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.77 / $287.77 / $716.94	Professional		$287.77	$287.77	$716.94