Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $57.54	Professional		$28.18	$38.90	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $109.65	Professional		$28.18	$35.48	$109.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $45.71 / $104.71	Facility		$30.20	$45.71	$104.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $125.89	Professional		$60.26	$100.00	$125.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $117.49 / $144.54	Professional		$51.29	$117.49	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $48.98 / $104.71	Facility		$30.90	$48.98	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $109.65	Professional		$29.51	$44.67	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $102.33	Professional		$30.20	$56.23	$102.33