Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $104.39 / $104.39	Professional		$104.39	$104.39	$104.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $43.91 / $43.91	Professional		$43.91	$43.91	$43.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $30.94 / $30.94	Facility		$30.94	$30.94	$30.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $98.41 / $149.57	Professional		$94.72	$98.41	$149.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.71 / $90.71 / $97.37	Facility		$90.71	$90.71	$97.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $97.37 / $200.75	Professional		$78.88	$97.37	$200.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $30.94 / $82.89	Facility		$30.94	$30.94	$82.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $82.89 / $200.75	Professional		$69.84	$82.89	$200.75
United Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $95.32 / $124.34	Professional		$48.18	$95.32	$124.34