Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $47.15 / $47.15	Professional		$47.15	$47.15	$47.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $39.44 / $58.50	Professional		$39.44	$39.44	$58.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.42 / $67.42 / $67.42	Facility		$67.42	$67.42	$67.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $25.18	Professional		$17.62	$17.62	$25.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $86.40 / $120.78	Professional		$66.25	$86.40	$120.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.42 / $67.42 / $67.42	Facility		$67.42	$67.42	$67.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $79.50 / $116.54	Professional		$25.18	$79.50	$116.54
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $44.84 / $70.20	Professional		$35.54	$44.84	$70.20