Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $28.71 / $55.87	Professional		$21.67	$28.71	$55.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $59.43 / $132.36	Professional		$27.52	$59.43	$132.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $49.39 / $78.22	Facility		$26.61	$49.39	$78.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $79.36 / $141.74	Professional		$61.45	$79.36	$141.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.25 / $71.25 / $3,495.87	Facility		$71.25	$71.25	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $77.34 / $104.12	Professional		$53.63	$77.34	$104.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $49.39 / $78.22	Facility		$24.16	$49.39	$78.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $69.34 / $107.50	Professional		$38.70	$69.34	$107.50
United Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $81.54 / $102.62	Professional		$70.36	$81.54	$102.62