Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $51.52 / $93.08	Professional		$41.14	$51.52	$93.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $67.02	Professional		$64.28	$64.28	$67.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $54.41 / $130.31	Facility		$38.15	$54.41	$130.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.23 / $151.13 / $224.98	Professional		$113.23	$151.13	$224.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $175.00 / $292.95	Professional		$69.00	$175.00	$292.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.62 / $60.45 / $130.31	Facility		$42.62	$60.45	$130.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $107.70 / $253.25	Professional		$64.28	$107.70	$253.25
United Facility/Professional Professional Modifier Low / Median / High Price $122.01 / $138.30 / $173.75	Professional		$122.01	$138.30	$173.75