Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $68.69 / $146.26	Professional		$54.90	$68.69	$146.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $69.00 / $132.27	Professional		$50.00	$69.00	$132.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.04 / $108.71 / $204.76	Facility		$62.04	$108.71	$204.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.44 / $189.24 / $232.26	Professional		$112.44	$189.24	$232.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.35 / $137.71 / $301.05	Professional		$91.35	$137.71	$301.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.37 / $120.46 / $204.76	Facility		$62.37	$120.46	$204.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $128.15 / $274.50	Professional		$71.15	$128.15	$274.50
United Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $113.03 / $204.58	Professional		$55.04	$113.03	$204.58