Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.88 / $33.88	Professional		$31.62	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $51.29 / $51.29	Professional		$20.89	$51.29	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $30.20 / $41.69	Facility		$18.62	$30.20	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $45.71 / $69.18	Professional		$22.91	$45.71	$69.18