Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.15 / $37.15	Professional		$33.11	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $57.54 / $57.54	Professional		$22.91	$57.54	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $31.62 / $43.65	Facility		$20.42	$31.62	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $51.29 / $75.86	Professional		$25.12	$51.29	$75.86