Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $48.00 / $108.69	Professional		$39.63	$48.00	$108.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $70.73 / $173.97	Professional		$56.58	$70.73	$173.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $63.34 / $152.16	Facility		$44.39	$63.34	$152.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $135.87 / $153.28	Professional		$66.98	$135.87	$153.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $91.65 / $197.40	Professional		$63.00	$91.65	$197.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $73.56 / $124.99	Facility		$44.39	$73.56	$124.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $80.22 / $169.20	Professional		$46.88	$80.22	$169.20
United Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $139.18 / $278.36	Professional		$121.14	$139.18	$278.36