Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $125.89	Professional		$87.10	$117.49	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $144.54	Facility		$107.15	$134.90	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $144.54	Professional		$93.33	$125.89	$144.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $162.18	Facility		$102.33	$134.90	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $158.49	Professional		$58.88	$58.88	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $269.15	Professional		$60.26	$70.79	$269.15