Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $45.71	Professional		$28.84	$32.36	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $50.12 / $158.49	Facility		$29.51	$50.12	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $158.49	Professional		$28.84	$34.67	$158.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $234.42	Professional		$102.33	$173.78	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $56.23 / $158.49	Facility		$29.51	$56.23	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $60.26	Professional		$36.31	$36.31	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $102.33 / $245.47	Professional		$39.81	$102.33	$245.47