Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $33.47 / $45.66	Professional		$30.44	$33.47	$45.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Professional		$33.42	$33.42	$33.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.29 / $65.29 / $235.68	Facility		$65.29	$65.29	$235.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $39.57 / $56.53	Professional		$39.57	$39.57	$56.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.13 / $50.13 / $78.78	Facility		$50.13	$50.13	$78.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.13 / $65.29 / $118.17	Facility		$50.13	$65.29	$118.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $56.53	Professional		$33.42	$33.42	$56.53
United Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $30.74 / $35.81	Professional		$30.74	$30.74	$35.81