Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $47.33 / $70.06	Professional		$31.32	$47.33	$70.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $52.17 / $78.28	Professional		$42.00	$52.17	$78.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $68.55 / $107.19	Facility		$34.94	$68.55	$107.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $110.64 / $163.02	Professional		$65.79	$110.64	$163.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $101.75 / $231.25	Professional		$55.50	$101.75	$231.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $70.06 / $107.19	Facility		$34.97	$70.06	$107.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $94.62 / $222.00	Professional		$52.73	$94.62	$222.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.63 / $172.90 / $224.86	Professional		$148.63	$172.90	$224.86