Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $122.37 / $201.61	Professional		$56.50	$122.37	$201.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $161.63 / $202.03	Professional		$128.26	$161.63	$202.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $162.91 / $291.63	Facility		$77.30	$162.91	$291.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.53 / $226.02 / $433.00	Professional		$140.53	$226.02	$433.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $255.91 / $589.50	Professional		$95.97	$255.91	$589.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $167.62 / $291.63	Facility		$70.37	$167.62	$291.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $230.92 / $552.50	Professional		$111.80	$230.92	$552.50
United Facility/Professional Professional Modifier Low / Median / High Price $358.50 / $365.84 / $717.00	Professional		$358.50	$365.84	$717.00