Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $35.21 / $52.09	Professional		$26.43	$35.21	$52.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $38.44 / $38.44	Professional		$38.44	$38.44	$38.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $35.21 / $50.35	Facility		$12.34	$35.21	$50.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $102.00 / $170.00	Professional		$45.26	$102.00	$170.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $35.21 / $50.35	Facility		$10.28	$35.21	$50.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $93.50 / $157.25	Professional		$38.25	$93.50	$157.25
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.58 / $60.24	Professional		$20.12	$20.58	$60.24