Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $114.28 / $227.92	Professional		$94.18	$114.28	$227.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $145.80	Professional		$141.06	$141.06	$145.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.41 / $135.87 / $319.08	Facility		$92.41	$135.87	$319.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.13 / $378.46 / $493.69	Professional		$291.13	$378.46	$493.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.75 / $297.35 / $639.90	Professional		$159.75	$297.35	$639.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.94 / $151.16 / $319.08	Facility		$105.94	$151.16	$319.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $234.75 / $579.04	Professional		$141.06	$234.75	$579.04
United Facility/Professional Professional Modifier Low / Median / High Price $306.30 / $307.42 / $386.90	Professional		$306.30	$307.42	$386.90