Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $110.72	Professional		$73.81	$73.81	$110.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.33 / $158.33 / $158.33	Facility		$158.33	$158.33	$158.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $237.70	Professional		$73.81	$73.81	$237.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.78 / $108.78 / $170.94	Facility		$108.78	$108.78	$170.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.78 / $155.40 / $256.41	Facility		$108.78	$155.40	$256.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $80.09	Professional		$72.52	$72.52	$80.09
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $77.70	Professional		$73.81	$73.81	$77.70