Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $80.41 / $145.21	Professional		$61.76	$80.41	$145.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $66.13	Professional		$65.77	$65.77	$66.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.75 / $84.12 / $203.29	Facility		$59.75	$84.12	$203.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.73 / $214.47 / $241.93	Professional		$178.73	$214.47	$241.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.54 / $168.75 / $337.50	Professional		$100.54	$168.75	$337.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.56 / $92.42 / $203.29	Facility		$65.56	$92.42	$203.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $180.00 / $358.05	Professional		$84.15	$180.00	$358.05
United Facility/Professional Professional Modifier Low / Median / High Price $186.46 / $219.62 / $273.88	Professional		$186.46	$219.62	$273.88