Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $47.38 / $114.68	Professional		$36.78	$47.38	$114.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $56.77 / $68.73	Professional		$56.77	$56.77	$68.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $47.52 / $114.68	Facility		$40.39	$47.52	$114.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $118.58 / $159.34	Professional		$85.99	$118.58	$159.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $102.00 / $171.25	Professional		$81.00	$102.00	$171.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $47.52 / $114.68	Facility		$40.39	$47.52	$114.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $89.10 / $171.25	Professional		$58.29	$89.10	$171.25
United Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $340.85	Professional		$161.72	$161.72	$340.85