Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $21.29 / $29.04	Professional		$19.35	$21.29	$29.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.53 / $41.53 / $41.53	Facility		$41.53	$41.53	$41.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $20.28 / $28.98	Professional		$20.28	$20.28	$28.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.89 / $31.89 / $50.12	Facility		$31.89	$31.89	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.89 / $41.53 / $75.17	Facility		$31.89	$41.53	$75.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $21.40 / $28.98	Professional		$20.28	$21.40	$28.98
United Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $22.78 / $23.17	Professional		$22.78	$22.78	$23.17