Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $110.95 / $242.83	Professional		$89.54	$110.95	$242.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $104.45 / $104.45	Professional		$104.45	$104.45	$104.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.67 / $242.83 / $339.96	Facility		$118.67	$242.83	$339.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $283.85 / $344.69 / $561.12	Professional		$283.85	$344.69	$561.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $472.50 / $3,495.87	Facility		$472.50	$472.50	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.25 / $430.00 / $616.30	Professional		$224.25	$430.00	$616.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.25 / $242.83 / $339.96	Facility		$105.25	$242.83	$339.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $197.75 / $313.58	Professional		$104.45	$197.75	$313.58
United Facility/Professional Professional Modifier Low / Median / High Price $299.01 / $357.14 / $448.77	Professional		$299.01	$357.14	$448.77