Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $38.17 / $74.25	Professional		$25.53	$38.17	$74.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $70.29 / $143.81	Professional		$34.96	$70.29	$143.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.88 / $59.12 / $103.95	Facility		$34.88	$59.12	$103.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $105.87 / $172.34	Professional		$71.98	$105.87	$172.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $72.98 / $3,495.87	Facility		$72.98	$72.98	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $96.76 / $140.40	Professional		$67.89	$96.76	$140.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.19 / $59.12 / $103.95	Facility		$32.19	$59.12	$103.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $86.45 / $145.60	Professional		$47.83	$86.45	$145.60
United Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $116.14 / $137.91	Professional		$93.20	$116.14	$137.91