Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $102.95 / $102.95	Professional		$102.95	$102.95	$102.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $44.13	Professional		$44.13	$44.13	$44.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.61 / $29.61 / $29.61	Facility		$29.61	$29.61	$29.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $102.76 / $162.26	Professional		$102.76	$102.76	$162.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.71 / $94.71 / $105.63	Facility		$94.71	$94.71	$105.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $105.63 / $217.83	Professional		$85.58	$105.63	$217.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.61 / $29.61 / $89.93	Facility		$29.61	$29.61	$89.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $89.93 / $217.83	Professional		$75.77	$89.93	$217.83
United Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $103.42 / $188.85	Professional		$53.96	$103.42	$188.85