Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $108.98 / $199.51	Professional		$89.10	$108.98	$199.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $93.83	Professional		$92.55	$92.55	$93.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.39 / $119.38 / $279.31	Facility		$81.39	$119.38	$279.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.50 / $301.80 / $327.33	Professional		$251.50	$301.80	$327.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $244.00 / $466.50	Professional		$141.51	$244.00	$466.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.10 / $129.38 / $279.31	Facility		$92.10	$129.38	$279.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.96 / $244.00 / $511.50	Professional		$118.96	$244.00	$511.50
United Facility/Professional Professional Modifier Low / Median / High Price $291.45 / $291.45 / $366.81	Professional		$291.45	$291.45	$366.81