Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $78.98 / $79.55	Professional		$41.48	$78.98	$79.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $35.07 / $35.07	Professional		$35.07	$35.07	$35.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $43.58 / $79.55	Facility		$41.48	$43.58	$79.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $43.58 / $92.56	Professional		$41.40	$43.58	$92.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $42.56 / $80.87	Professional		$31.17	$42.56	$80.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $43.58 / $79.55	Facility		$41.48	$43.58	$79.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $35.11 / $72.51	Professional		$31.17	$35.11	$72.51
United Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $21.74 / $162.22	Professional		$21.74	$21.74	$162.22