Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $316.23	Professional		$131.83	$165.96	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $223.87 / $309.03	Facility		$204.17	$223.87	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $436.52	Professional		$169.82	$234.42	$436.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $3,467.37	Facility		$223.87	$223.87	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $234.42 / $316.23	Facility		$131.83	$234.42	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $169.82	Professional		$60.26	$95.50	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $478.63	Professional		$114.82	$120.23	$478.63