Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $67.61 / $100.00	Professional		$37.15	$67.61	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $60.26	Professional		$45.71	$45.71	$60.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $60.26 / $81.28	Facility		$37.15	$60.26	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $91.20 / $323.59	Professional		$44.67	$91.20	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $154.88 / $257.04	Professional		$47.86	$154.88	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $51.29 / $81.28	Facility		$26.92	$51.29	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $60.26	Professional		$45.71	$45.71	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $102.33 / $208.93	Professional		$38.02	$102.33	$208.93