Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $54.32 / $91.21	Professional		$43.43	$54.32	$91.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $44.04 / $44.44	Professional		$44.04	$44.04	$44.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $61.83 / $127.69	Facility		$40.71	$61.83	$127.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $143.61 / $162.03	Professional		$73.63	$143.61	$162.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $116.25 / $234.00	Professional		$70.20	$116.25	$234.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $69.23 / $127.69	Facility		$43.43	$69.23	$127.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $110.36 / $239.25	Professional		$54.25	$110.36	$239.25
United Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $152.38 / $191.78	Professional		$124.59	$152.38	$191.78