Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $57.57 / $80.63	Professional		$38.72	$57.57	$80.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $58.26	Professional		$55.95	$55.95	$58.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.68 / $61.95 / $115.22	Facility		$35.68	$61.95	$115.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $140.28 / $191.85	Professional		$83.60	$140.28	$191.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $118.77 / $258.00	Professional		$65.50	$118.77	$258.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.96 / $69.64 / $123.56	Facility		$36.96	$69.64	$123.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $117.70 / $264.00	Professional		$59.03	$117.70	$264.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $164.04 / $247.47	Professional		$147.63	$164.04	$247.47