Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $213.80	Professional		$112.20	$151.36	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $162.18 / $251.19	Facility		$123.03	$162.18	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $177.83	Professional		$104.71	$151.36	$177.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $691.83	Professional		$302.00	$436.52	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $251.19	Facility		$104.71	$151.36	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $213.80	Professional		$69.18	$123.03	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $724.44	Professional		$204.17	$338.84	$724.44