Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $57.54 / $66.07	Professional		$30.90	$57.54	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $229.09	Professional		$57.54	$67.61	$229.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $57.54 / $77.62	Facility		$40.74	$57.54	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $60.26	Professional		$51.29	$58.88	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $173.78	Professional		$54.95	$112.20	$173.78