Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $24.86 / $37.29	Professional		$24.85	$24.86	$37.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $53.32 / $53.32	Facility		$53.32	$53.32	$53.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $40.95 / $64.34	Facility		$40.95	$40.95	$64.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $53.32 / $96.52	Facility		$40.95	$53.32	$96.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $27.44	Professional		$17.00	$17.00	$27.44
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $29.25	Professional		$27.79	$27.79	$29.25