Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $25.12 / $60.34	Professional		$18.23	$25.12	$60.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $28.26 / $35.78	Professional		$28.26	$28.26	$35.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $29.84 / $60.34	Facility		$23.04	$29.84	$60.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $59.08 / $83.05	Professional		$42.24	$59.08	$83.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $54.40 / $85.00	Professional		$40.79	$54.40	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $29.84 / $60.34	Facility		$23.04	$29.84	$60.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $46.24 / $85.00	Professional		$29.15	$46.24	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $84.18 / $177.48	Professional		$84.18	$84.18	$177.48