Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $36.38 / $87.79	Professional		$27.64	$36.38	$87.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $42.68 / $52.25	Professional		$42.68	$42.68	$52.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $45.31 / $87.79	Facility		$35.90	$45.31	$87.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $89.30 / $121.56	Professional		$64.36	$89.30	$121.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.16 / $78.00 / $128.75	Professional		$59.16	$78.00	$128.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $45.31 / $87.79	Facility		$35.90	$45.31	$87.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $66.95 / $128.75	Professional		$44.37	$66.95	$128.75
United Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $122.96 / $259.29	Professional		$122.96	$122.96	$259.29