Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.67 / $75.67 / $75.67	Professional		$75.67	$75.67	$75.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $43.49	Professional		$43.49	$43.49	$43.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $75.67 / $108.21	Facility		$67.06	$75.67	$108.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $80.92 / $80.92	Professional		$80.92	$80.92	$80.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.67 / $83.24 / $140.27	Facility		$75.67	$83.24	$140.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $74.58 / $99.82	Professional		$43.49	$74.58	$99.82
United Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $44.45 / $212.46	Professional		$41.17	$44.45	$212.46