Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $24.37 / $57.80	Professional		$22.01	$24.37	$57.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $27.97	Professional		$27.97	$27.97	$27.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $57.80 / $82.65	Facility		$40.36	$57.80	$82.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.03 / $105.28 / $266.89	Professional		$76.03	$105.28	$266.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $136.30 / $186.00	Professional		$117.50	$136.30	$186.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $57.80 / $82.65	Facility		$40.36	$57.80	$82.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $141.00 / $186.00	Professional		$30.92	$141.00	$186.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $90.74 / $195.89	Professional		$80.75	$90.74	$195.89