Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $33.00 / $69.76	Professional		$24.52	$33.00	$69.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $21.58 / $29.55	Professional		$18.07	$21.58	$29.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $30.56 / $76.94	Facility		$21.81	$30.56	$76.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $66.61 / $85.59	Professional		$61.34	$66.61	$85.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $58.75 / $99.90	Professional		$33.00	$58.75	$99.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $32.28 / $83.71	Facility		$19.17	$32.28	$83.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $53.25 / $97.50	Professional		$22.80	$53.25	$97.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $59.04 / $103.39	Professional		$23.69	$59.04	$103.39