Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $22.19 / $47.42	Professional		$17.80	$22.19	$47.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $22.00 / $42.49	Professional		$16.00	$22.00	$42.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $35.20 / $66.39	Facility		$20.03	$35.20	$66.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $61.14 / $74.68	Professional		$35.67	$61.14	$74.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $44.40 / $97.20	Professional		$26.96	$44.40	$97.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $38.96 / $66.39	Facility		$20.05	$38.96	$66.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $41.11 / $87.00	Professional		$23.10	$41.11	$87.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $32.36 / $100.14	Professional		$17.62	$32.36	$100.14