Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $61.97 / $111.12	Professional		$38.89	$61.97	$111.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Professional		$57.14	$57.14	$57.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $92.63 / $155.57	Facility		$52.20	$92.63	$155.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.63 / $155.28 / $274.51	Professional		$94.63	$155.28	$274.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.30 / $159.30 / $3,495.87	Facility		$159.30	$159.30	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $180.00 / $310.20	Professional		$94.99	$180.00	$310.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $86.27 / $155.57	Facility		$52.20	$86.27	$155.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $147.50 / $290.36	Professional		$67.90	$147.50	$290.36
United Facility/Professional Professional Modifier Low / Median / High Price $159.37 / $178.76 / $225.66	Professional		$159.37	$178.76	$225.66