Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $20.88 / $103.75	Professional		$17.01	$20.88	$103.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $29.86 / $44.97	Facility		$29.86	$29.86	$44.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $115.79	Professional		$34.15	$34.15	$115.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Professional		$35.11	$35.11	$35.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $29.86 / $44.97	Facility		$29.86	$29.86	$44.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $29.90 / $31.49	Professional		$16.14	$29.90	$31.49
United Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $59.80 / $89.70	Professional		$35.83	$59.80	$89.70