Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $63.29 / $93.60	Professional		$57.53	$63.29	$93.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.85 / $133.85 / $133.85	Facility		$133.85	$133.85	$133.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.34 / $93.34 / $146.66	Facility		$93.34	$93.34	$146.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.34 / $133.34 / $220.01	Facility		$93.34	$133.34	$220.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $86.67 / $116.55	Professional		$57.78	$86.67	$116.55