Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $29.64 / $55.34	Professional		$21.77	$29.64	$55.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $57.46 / $108.80	Professional		$29.76	$57.46	$108.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $41.91 / $80.93	Facility		$23.39	$41.91	$80.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $71.00 / $97.00	Professional		$42.92	$71.00	$97.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $59.50 / $129.60	Professional		$35.00	$59.50	$129.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $48.26 / $80.93	Facility		$23.90	$48.26	$80.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $56.79 / $119.60	Professional		$32.31	$56.79	$119.60
United Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $87.04 / $174.08	Professional		$82.48	$87.04	$174.08