Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $70.79 / $112.20	Professional		$69.18	$70.79	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $162.18	Facility		$112.20	$112.20	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $69.18 / $112.20	Professional		$60.26	$69.18	$112.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $162.18	Facility		$112.20	$112.20	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $91.20	Professional		$60.26	$64.57	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $223.87	Professional		$79.43	$120.23	$223.87