Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $64.66 / $137.72	Professional		$51.87	$64.66	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $65.00 / $124.49	Professional		$47.00	$65.00	$124.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.42 / $102.31 / $192.81	Facility		$58.42	$102.31	$192.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.39 / $178.56 / $217.01	Professional		$106.39	$178.56	$217.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $126.63 / $283.50	Professional		$80.43	$126.63	$283.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.59 / $113.22 / $192.81	Facility		$58.59	$113.22	$192.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $119.70 / $256.50	Professional		$67.68	$119.70	$256.50
United Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $86.22 / $190.84	Professional		$51.23	$86.22	$190.84