Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $50.17 / $110.40	Professional		$18.00	$50.17	$110.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $74.95 / $104.88	Professional		$48.00	$74.95	$104.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $59.20 / $110.40	Facility		$26.50	$59.20	$110.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $106.72 / $143.41	Professional		$86.39	$106.72	$143.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $95.76 / $135.90	Professional		$73.70	$95.76	$135.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $59.20 / $110.40	Facility		$26.50	$59.20	$110.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $75.50 / $108.72	Professional		$48.00	$75.50	$108.72
United Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $146.86 / $147.02	Professional		$146.86	$146.86	$147.02