Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $83.88 / $110.75	Professional		$34.32	$83.88	$110.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $31.67 / $74.66	Professional		$26.84	$31.67	$74.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.88 / $79.48 / $132.90	Facility		$35.88	$79.48	$132.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $88.32 / $110.81	Professional		$68.06	$88.32	$110.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $133.50 / $187.00	Professional		$75.20	$133.50	$187.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $79.48 / $132.90	Facility		$39.21	$79.48	$132.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $117.60 / $252.00	Professional		$48.96	$117.60	$252.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $85.92 / $215.77	Professional		$54.81	$85.92	$215.77