Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $92.03 / $103.44	Professional		$77.51	$92.03	$103.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.51 / $96.63 / $132.04	Facility		$77.51	$96.63	$132.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.13 / $283.35 / $432.14	Professional		$236.13	$283.35	$432.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.85 / $392.85 / $3,495.87	Facility		$392.85	$392.85	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.95 / $365.00 / $510.00	Professional		$175.95	$365.00	$510.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.51 / $99.02 / $132.04	Facility		$77.51	$99.02	$132.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $228.87 / $459.00	Professional		$91.04	$228.87	$459.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.17 / $249.16 / $314.95	Professional		$99.17	$249.16	$314.95