Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $30.20	Professional		$16.98	$22.91	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $44.67	Professional		$28.84	$35.48	$44.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.70 / $46.77	Facility		$17.38	$25.70	$46.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $66.07 / $109.65	Professional		$20.89	$66.07	$109.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $112.20	Professional		$33.88	$63.10	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.30 / $47.86	Facility		$19.05	$26.30	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $56.23 / $69.18	Professional		$26.30	$56.23	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $154.88	Professional		$58.88	$70.79	$154.88