Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $49.50 / $54.45	Professional		$22.21	$49.50	$54.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $49.50 / $159.38	Professional		$49.50	$49.50	$159.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.31 / $54.31 / $85.34	Facility		$54.31	$54.31	$85.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $19.76 / $19.76	Professional		$19.76	$19.76	$19.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $54.31 / $128.01	Facility		$30.72	$54.31	$128.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $53.69	Professional		$48.76	$48.76	$53.69
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $43.54 / $52.10	Professional		$43.54	$43.54	$52.10