Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $144.66 / $144.66	Professional		$144.66	$144.66	$144.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $138.19	Professional		$62.01	$62.01	$138.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.21 / $151.99 / $206.88	Facility		$133.21	$151.99	$206.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $144.38 / $455.97	Professional		$144.38	$144.38	$455.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.43 / $148.43 / $3,495.87	Facility		$148.43	$148.43	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.67 / $148.43 / $148.43	Professional		$108.67	$148.43	$148.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.21 / $144.66 / $206.88	Facility		$133.21	$144.66	$206.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.47 / $126.38 / $178.12	Professional		$106.47	$126.38	$178.12
United Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $75.83 / $379.14	Professional		$73.45	$75.83	$379.14