Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $23.90 / $110.94	Professional		$21.79	$23.90	$110.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Facility		$34.18	$34.18	$34.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $39.27 / $133.11	Professional		$26.45	$39.27	$133.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $40.27 / $40.27	Professional		$35.58	$40.27	$40.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Facility		$34.18	$34.18	$34.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $33.83 / $34.07	Professional		$18.70	$33.83	$34.07
United Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $68.14 / $102.21	Professional		$53.25	$68.14	$102.21