Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $42.54 / $47.08	Professional		$38.49	$42.54	$47.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $31.07 / $31.07	Professional		$22.58	$31.07	$31.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $42.54 / $51.05	Facility		$30.98	$42.54	$51.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $79.09 / $158.19	Professional		$51.64	$79.09	$158.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $42.54 / $51.05	Facility		$30.98	$42.54	$51.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $77.97 / $169.50	Professional		$31.07	$77.97	$169.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $87.53 / $97.08	Professional		$36.43	$87.53	$97.08