Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $31.82 / $37.11	Professional		$22.96	$31.82	$37.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $34.86 / $34.86	Professional		$34.86	$34.86	$34.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $31.82 / $44.55	Facility		$24.81	$31.82	$44.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $86.25 / $128.52	Professional		$36.74	$86.25	$128.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $31.82 / $44.55	Facility		$24.81	$31.82	$44.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $82.80 / $128.69	Professional		$31.05	$82.80	$128.69
United Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $60.76 / $109.89	Professional		$36.61	$60.76	$109.89