Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.46 / $121.44 / $135.97	Professional		$117.46	$121.44	$135.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.33 / $135.97 / $163.18	Facility		$101.33	$135.97	$163.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $142.87 / $214.31	Professional		$135.72	$142.87	$214.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $118.59 / $139.52	Professional		$102.14	$118.59	$139.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.99 / $135.97 / $163.18	Facility		$101.99	$135.97	$163.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $106.34 / $167.42	Professional		$58.29	$106.34	$167.42
United Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $71.27 / $269.61	Professional		$67.09	$71.27	$269.61