Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $128.82	Professional		$30.20	$60.26	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $91.20 / $128.82	Facility		$85.11	$91.20	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $177.83	Professional		$69.18	$97.72	$177.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $3,467.37	Facility		$93.33	$93.33	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $97.72 / $128.82	Facility		$53.70	$97.72	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $70.79	Professional		$39.81	$60.26	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $48.98 / $194.98	Professional		$47.86	$48.98	$194.98