Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $73.68 / $97.49	Professional		$52.24	$73.68	$97.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $94.12 / $94.12	Professional		$94.12	$94.12	$94.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $73.68 / $103.15	Facility		$63.00	$73.68	$103.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.85 / $216.00 / $337.37	Professional		$95.85	$216.00	$337.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.63 / $73.68 / $103.15	Facility		$62.63	$73.68	$103.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $198.00 / $333.00	Professional		$86.81	$198.00	$333.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $147.91 / $267.52	Professional		$89.15	$147.91	$267.52