Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $83.18	Professional		$47.86	$57.54	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $83.18 / $138.04	Facility		$53.70	$83.18	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $165.96 / $295.12	Professional		$67.61	$165.96	$295.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $3,467.37	Facility		$239.88	$239.88	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $323.59	Professional		$120.23	$234.42	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $79.43 / $138.04	Facility		$51.29	$79.43	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $158.49	Professional		$60.26	$91.20	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $177.83 / $208.93	Professional		$60.26	$177.83	$208.93