Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $103.59 / $170.68	Professional		$75.34	$103.59	$170.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.68 / $170.68 / $238.95	Facility		$170.68	$170.68	$238.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $266.85 / $292.75	Professional		$156.91	$266.85	$292.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $371.25 / $491.75	Professional		$221.02	$371.25	$491.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.68 / $170.68 / $238.95	Facility		$170.68	$170.68	$238.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $232.65 / $530.16	Professional		$81.84	$232.65	$530.16
United Facility/Professional Professional Modifier Low / Median / High Price $236.28 / $276.22 / $552.44	Professional		$236.28	$276.22	$552.44