Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $51.58 / $101.12	Professional		$44.85	$51.58	$101.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $66.15 / $152.16	Professional		$41.04	$66.15	$152.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.29 / $101.12 / $144.60	Facility		$54.29	$101.12	$144.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $63.18 / $63.18	Professional		$44.22	$63.18	$63.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.33 / $159.60 / $266.00	Professional		$75.33	$159.60	$266.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $101.12 / $144.60	Facility		$43.29	$101.12	$144.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $152.16 / $259.35	Professional		$63.18	$152.16	$259.35
United Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $115.64 / $249.65	Professional		$73.45	$115.64	$249.65