Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $89.13	Professional		$45.71	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $169.82	Professional		$104.71	$147.91	$169.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $218.78 / $218.78	Facility		$70.79	$218.78	$218.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $218.78 / $234.42	Professional		$70.79	$218.78	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $69.18	Professional		$52.48	$52.48	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $346.74	Professional		$138.04	$138.04	$346.74