Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $48.47 / $240.85	Professional		$39.51	$48.47	$240.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.31 / $69.31 / $97.49	Facility		$69.31	$69.31	$97.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $79.31 / $268.83	Professional		$79.31	$79.31	$268.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $81.53 / $81.53	Professional		$81.53	$81.53	$81.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.31 / $69.31 / $97.49	Facility		$69.31	$69.31	$97.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $69.41 / $73.09	Professional		$0.09	$69.41	$73.09
United Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $138.82 / $208.23	Professional		$83.24	$138.82	$208.23