Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $21.06 / $104.66	Professional		$17.17	$21.06	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Professional		$21.60	$21.60	$21.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $20.69 / $30.12	Facility		$20.69	$20.69	$30.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $34.46 / $116.79	Professional		$34.46	$34.46	$116.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $35.42 / $35.42	Professional		$35.42	$35.42	$35.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $20.69 / $30.12	Facility		$20.69	$20.69	$30.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $30.16 / $31.76	Professional		$21.60	$30.16	$31.76
United Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $60.32 / $90.48	Professional		$58.44	$60.32	$90.48