Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $110.17 / $200.08	Professional		$88.91	$110.17	$200.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Professional		$96.42	$96.42	$96.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.97 / $200.08 / $280.11	Facility		$118.97	$200.08	$280.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.00 / $314.39 / $524.89	Professional		$262.00	$314.39	$524.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.40 / $437.40 / $3,495.87	Facility		$437.40	$437.40	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $405.00 / $578.34	Professional		$215.60	$405.00	$578.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.68 / $200.08 / $280.11	Facility		$104.68	$200.08	$280.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $273.67 / $539.00	Professional		$103.74	$273.67	$539.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $310.30 / $620.60	Professional		$266.77	$310.30	$620.60