Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $131.18 / $241.38	Professional		$102.14	$131.18	$241.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $107.72	Professional		$107.43	$107.43	$107.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $138.52 / $337.93	Facility		$97.31	$138.52	$337.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.93 / $350.31 / $396.55	Professional		$291.93	$350.31	$396.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $296.80 / $556.50	Professional		$164.98	$296.80	$556.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.53 / $152.22 / $337.93	Facility		$106.53	$152.22	$337.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.08 / $280.33 / $594.00	Professional		$138.08	$280.33	$594.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.30 / $359.62 / $451.06	Professional		$309.30	$359.62	$451.06