Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $29.74 / $48.39	Professional		$20.53	$29.74	$48.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $22.47 / $69.39	Professional		$15.60	$22.47	$69.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $31.60 / $50.56	Facility		$18.04	$31.60	$50.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $54.33 / $81.93	Professional		$38.67	$54.33	$81.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $40.43 / $87.75	Professional		$28.00	$40.43	$87.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.28 / $31.60 / $50.56	Facility		$19.28	$31.60	$50.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $37.42 / $82.50	Professional		$21.17	$37.42	$82.50
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $55.86 / $60.96	Professional		$14.00	$55.86	$60.96