Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $23.20 / $46.51	Professional		$10.07	$23.20	$46.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $33.09 / $79.41	Professional		$14.87	$33.09	$79.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $34.74 / $65.11	Facility		$16.01	$34.74	$65.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $59.85 / $101.33	Professional		$29.93	$59.85	$101.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $35.15 / $3,495.87	Facility		$35.15	$35.15	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $46.53 / $79.34	Professional		$29.07	$46.53	$79.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $31.59 / $65.11	Facility		$14.41	$31.59	$65.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $42.82 / $74.72	Professional		$24.12	$42.82	$74.72
United Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $63.52 / $71.45	Professional		$55.84	$63.52	$71.45