Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $51.13 / $79.51	Professional		$29.85	$51.13	$79.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $105.90 / $204.74	Professional		$53.62	$105.90	$204.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $79.51 / $121.65	Facility		$38.61	$79.51	$121.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $120.00 / $177.43	Professional		$73.75	$120.00	$177.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $100.04 / $176.08	Professional		$60.50	$100.04	$176.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $79.51 / $121.65	Facility		$38.76	$79.51	$121.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $102.18 / $180.00	Professional		$57.95	$102.18	$180.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $163.80 / $213.02	Professional		$82.08	$163.80	$213.02