Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $85.11	Professional		$52.48	$64.57	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $208.93	Professional		$61.66	$97.72	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $87.10 / $147.91	Facility		$63.10	$87.10	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $138.04	Professional		$54.95	$66.07	$138.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $331.13	Professional		$131.83	$269.15	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $91.20 / $141.25	Facility		$60.26	$91.20	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $208.93	Professional		$54.95	$69.18	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $147.91 / $346.74	Professional		$53.70	$147.91	$346.74