Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $42.06 / $56.75	Professional		$31.98	$42.06	$56.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $49.16 / $49.16	Professional		$49.16	$49.16	$49.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $42.06 / $59.53	Facility		$36.67	$42.06	$59.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $108.75 / $174.00	Professional		$49.37	$108.75	$174.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $42.06 / $59.53	Facility		$35.75	$42.06	$59.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $104.40 / $169.95	Professional		$46.33	$104.40	$169.95
United Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $76.94 / $115.41	Professional		$34.54	$76.94	$115.41