Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $140.27 / $140.27	Professional		$140.27	$140.27	$140.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $144.58	Professional		$60.12	$60.12	$144.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.16 / $147.37 / $267.31	Facility		$129.16	$147.37	$267.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $442.11	Professional		$140.00	$140.00	$442.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.91 / $143.91 / $3,495.87	Facility		$143.91	$143.91	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $143.91 / $143.91	Professional		$105.36	$143.91	$143.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.16 / $140.27 / $259.05	Facility		$129.16	$140.27	$259.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.23 / $122.53 / $172.70	Professional		$103.23	$122.53	$172.70
United Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $76.91 / $367.59	Professional		$71.23	$76.91	$367.59