Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $33.07 / $33.07	Professional		$33.07	$33.07	$33.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $27.47 / $27.47	Professional		$27.47	$27.47	$27.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $17.14 / $47.29	Facility		$17.14	$17.14	$47.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $91.04 / $214.00	Professional		$63.75	$91.04	$214.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.07 / $45.31 / $47.29	Facility		$33.07	$45.31	$47.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $162.00 / $254.66	Professional		$70.00	$162.00	$254.66
United Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $115.70 / $232.68	Professional		$58.37	$115.70	$232.68