Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $38.60 / $84.44	Professional		$18.00	$38.60	$84.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $69.31 / $104.88	Professional		$46.74	$69.31	$104.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $50.56 / $84.44	Facility		$25.48	$50.56	$84.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $81.73 / $109.82	Professional		$64.04	$81.73	$109.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $73.34 / $117.60	Professional		$55.00	$73.34	$117.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $50.56 / $84.44	Facility		$25.48	$50.56	$84.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $68.20 / $104.88	Professional		$42.63	$68.20	$104.88
United Facility/Professional Professional Modifier Low / Median / High Price $112.04 / $112.04 / $112.28	Professional		$112.04	$112.04	$112.28