Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $74.13	Professional		$32.36	$46.77	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $74.13 / $125.89	Facility		$40.74	$74.13	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $141.25 / $288.40	Professional		$61.66	$141.25	$288.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $3,467.37	Facility		$158.49	$158.49	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $288.40	Professional		$89.13	$158.49	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $66.07 / $117.49	Facility		$39.81	$66.07	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $144.54	Professional		$60.26	$79.43	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $134.90 / $218.78	Professional		$46.77	$134.90	$218.78