Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $94.88 / $221.64	Professional		$34.77	$94.88	$221.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $74.39 / $133.00	Professional		$28.21	$74.39	$133.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.01 / $93.62 / $221.64	Facility		$38.01	$93.62	$221.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $138.38 / $254.00	Professional		$70.68	$138.38	$254.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $120.35 / $281.25	Professional		$47.50	$120.35	$281.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.01 / $93.62 / $221.64	Facility		$38.01	$93.62	$221.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $119.93 / $281.25	Professional		$47.00	$119.93	$281.25
United Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $204.18 / $226.00	Professional		$74.20	$204.18	$226.00