Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $26.91 / $57.88	Professional		$18.00	$26.91	$57.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $65.06 / $104.88	Professional		$38.59	$65.06	$104.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.26 / $43.50 / $57.88	Facility		$18.26	$43.50	$57.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $57.22 / $80.16	Professional		$41.68	$57.22	$80.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $48.00 / $76.80	Professional		$35.38	$48.00	$76.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.26 / $43.50 / $57.88	Facility		$18.26	$43.50	$57.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $56.59 / $101.84	Professional		$33.60	$56.59	$101.84
United Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $76.92 / $77.23	Professional		$76.92	$76.92	$77.23