Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $100.00	Professional		$48.98	$74.13	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $74.13 / $134.90	Facility		$53.70	$74.13	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $213.80 / $275.42	Professional		$74.13	$213.80	$275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $288.40 / $331.13	Professional		$100.00	$288.40	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $74.13 / $134.90	Facility		$54.95	$74.13	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $107.15	Professional		$60.26	$79.43	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $275.42	Professional		$117.49	$218.78	$275.42