Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $54.33 / $89.51	Professional		$43.78	$54.33	$89.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $43.48	Professional		$43.15	$43.15	$43.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $62.48 / $125.31	Facility		$39.89	$62.48	$125.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $140.69 / $159.05	Professional		$73.63	$140.69	$159.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $116.25 / $237.00	Professional		$70.65	$116.25	$237.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $69.20 / $125.31	Facility		$43.78	$69.20	$125.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.54 / $110.36 / $237.00	Professional		$51.54	$110.36	$237.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $152.10 / $228.15	Professional		$82.24	$152.10	$228.15