Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $60.93 / $81.48	Professional		$43.52	$60.93	$81.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $70.62 / $70.62	Professional		$70.62	$70.62	$70.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $60.93 / $87.13	Facility		$51.79	$60.93	$87.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $145.19 / $242.00	Professional		$69.58	$145.19	$242.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $60.93 / $87.13	Facility		$51.79	$60.93	$87.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.58 / $145.19 / $245.85	Professional		$69.58	$145.19	$245.85
United Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $106.74 / $193.05	Professional		$63.67	$106.74	$193.05