Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $41.69	Professional		$26.92	$36.31	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $52.48	Professional		$42.66	$42.66	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $70.79	Facility		$35.48	$40.74	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $125.89	Professional		$61.66	$87.10	$125.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $154.88	Professional		$66.07	$85.11	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $70.79	Facility		$35.48	$40.74	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $60.26	Professional		$42.66	$52.48	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $257.04	Professional		$60.26	$107.15	$257.04