Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $91.20	Professional		$58.88	$69.18	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $66.07 / $151.36	Facility		$56.23	$66.07	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $213.80 / $275.42	Professional		$67.61	$213.80	$275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $295.12 / $338.84	Professional		$102.33	$295.12	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $69.18 / $144.54	Facility		$58.88	$69.18	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $199.53	Professional		$66.07	$79.43	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $275.42	Professional		$120.23	$218.78	$275.42