Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $36.28 / $73.05	Professional		$22.36	$36.28	$73.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $60.79 / $127.46	Professional		$28.57	$60.79	$127.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $55.49 / $102.27	Facility		$27.46	$55.49	$102.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $93.00 / $161.84	Professional		$56.60	$93.00	$161.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.50 / $66.50 / $3,495.87	Facility		$66.50	$66.50	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $85.12 / $126.50	Professional		$54.53	$85.12	$126.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $50.86 / $102.27	Facility		$27.17	$50.86	$102.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $73.59 / $122.40	Professional		$43.99	$73.59	$122.40
United Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $101.96 / $114.71	Professional		$80.00	$101.96	$114.71