Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $73.87 / $100.74	Professional		$67.16	$73.87	$100.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Professional		$74.02	$74.02	$74.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.06 / $144.06 / $144.06	Facility		$144.06	$144.06	$144.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $21.85	Professional		$15.30	$15.30	$21.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.61 / $110.61 / $173.82	Facility		$110.61	$110.61	$173.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.61 / $144.06 / $260.73	Facility		$110.61	$144.06	$260.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $21.85 / $74.02	Professional		$15.30	$21.85	$74.02
United Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $66.09 / $79.01	Professional		$66.09	$66.09	$79.01