Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $39.59 / $58.04	Professional		$24.96	$39.59	$58.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $110.75 / $153.12	Professional		$49.97	$110.75	$153.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $58.04 / $88.80	Facility		$29.04	$58.04	$88.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $128.00 / $169.72	Professional		$75.48	$128.00	$169.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $82.42 / $144.38	Professional		$46.41	$82.42	$144.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $58.04 / $90.02	Facility		$29.04	$58.04	$90.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $79.19 / $138.19	Professional		$44.89	$79.19	$138.19
United Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $122.50 / $159.31	Professional		$109.13	$122.50	$159.31