Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $128.82	Professional		$38.02	$66.07	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $95.50 / $218.78	Facility		$42.66	$95.50	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $128.82	Professional		$39.81	$57.54	$128.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $3,467.37	Facility		$186.21	$186.21	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $245.47	Professional		$91.20	$181.97	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $70.79 / $181.97	Facility		$43.65	$70.79	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $79.43	Professional		$39.81	$39.81	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $104.71 / $245.47	Professional		$46.77	$104.71	$245.47