Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $79.51 / $79.51	Professional		$79.51	$79.51	$79.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $23.24	Professional		$23.24	$23.24	$23.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $15.59 / $15.59	Facility		$15.59	$15.59	$15.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $79.36 / $145.26	Professional		$46.00	$79.36	$145.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.88 / $49.88 / $81.58	Facility		$49.88	$49.88	$81.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $81.58 / $168.23	Professional		$58.52	$81.58	$168.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $15.59 / $49.88	Facility		$15.59	$15.59	$49.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $66.37 / $168.23	Professional		$42.26	$66.37	$168.23
United Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $79.88 / $145.87	Professional		$41.68	$79.88	$145.87