Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $65.67 / $98.51	Professional		$65.67	$65.67	$98.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.87 / $140.87 / $140.87	Facility		$140.87	$140.87	$140.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $49.21 / $70.30	Professional		$49.21	$49.21	$70.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.16 / $108.16 / $169.97	Facility		$108.16	$108.16	$169.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.16 / $140.87 / $254.96	Facility		$108.16	$140.87	$254.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $70.30 / $72.25	Professional		$49.21	$70.30	$72.25
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $73.40 / $77.26	Professional		$73.40	$73.40	$77.26