Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.69 / $79.69 / $79.69	Professional		$79.69	$79.69	$79.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $82.64	Professional		$34.15	$34.15	$82.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.38 / $83.72 / $113.96	Facility		$73.38	$83.72	$113.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $79.53 / $251.16	Professional		$79.53	$79.53	$251.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.76 / $81.76 / $3,495.87	Facility		$81.76	$81.76	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $81.76 / $81.76	Professional		$59.87	$81.76	$81.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.38 / $79.69 / $113.96	Facility		$73.38	$79.69	$113.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $69.61 / $98.11	Professional		$58.65	$69.61	$98.11
United Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $43.69 / $208.83	Professional		$40.46	$43.69	$208.83