Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $218.78	Professional		$67.61	$91.20	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $69.18 / $125.89	Facility		$20.42	$69.18	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $218.78	Professional		$60.26	$77.62	$218.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $20.42 / $204.17	Facility		$12.88	$20.42	$204.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $37.15 / $204.17	Professional		$18.62	$37.15	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $131.83	Facility		$67.61	$89.13	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $109.65	Professional		$60.26	$77.62	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $47.86 / $79.43	Facility		$6.46	$47.86	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $109.65 / $281.84	Professional		$56.23	$109.65	$281.84