Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.17 / $61.67 / $126.89	Professional		$46.17	$61.67	$126.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $55.95	Professional		$55.95	$55.95	$55.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.82 / $119.62 / $177.65	Facility		$61.82	$119.62	$177.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $176.35 / $281.72	Professional		$141.53	$176.35	$281.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.60 / $237.60 / $3,495.87	Facility		$237.60	$237.60	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $235.00 / $332.95	Professional		$121.10	$235.00	$332.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $119.62 / $177.65	Facility		$58.93	$119.62	$177.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $165.60 / $313.47	Professional		$81.58	$165.60	$313.47
United Facility/Professional Professional Modifier Low / Median / High Price $161.53 / $178.58 / $200.90	Professional		$161.53	$178.58	$200.90