Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $107.15	Professional		$46.77	$61.66	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $75.86 / $117.49	Facility		$38.90	$75.86	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $81.28	Professional		$46.77	$61.66	$81.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $275.42	Professional		$87.10	$165.96	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $75.86 / $109.65	Facility		$43.65	$75.86	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $102.33	Professional		$87.10	$87.10	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $117.49 / $158.49	Professional		$47.86	$117.49	$158.49