Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $67.61	Professional		$45.71	$57.54	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $83.18	Professional		$70.79	$70.79	$83.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $60.26 / $120.23	Facility		$48.98	$60.26	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $204.17	Professional		$104.71	$141.25	$204.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $251.19	Professional		$109.65	$134.90	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $60.26 / $120.23	Facility		$48.98	$60.26	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $89.13	Professional		$60.26	$74.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $416.87	Professional		$97.72	$173.78	$416.87