Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $25.69 / $54.73	Professional		$13.00	$25.69	$54.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $67.08 / $105.64	Professional		$37.22	$67.08	$105.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $17.55 / $54.73	Facility		$17.34	$17.55	$54.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $52.29 / $70.26	Professional		$41.74	$52.29	$70.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $48.24 / $81.59	Professional		$37.95	$48.24	$81.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $17.55 / $54.73	Facility		$17.34	$17.55	$54.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $56.59 / $101.63	Professional		$33.49	$56.59	$101.63
United Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $74.54 / $74.78	Professional		$74.54	$74.54	$74.78