Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.26 / $52.26 / $52.26	Professional		$52.26	$52.26	$52.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Professional		$28.69	$28.69	$28.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $52.26 / $73.16	Facility		$40.47	$52.26	$73.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $52.30 / $143.34	Professional		$45.39	$52.30	$143.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.62 / $53.62 / $3,495.87	Facility		$53.62	$53.62	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $53.62 / $53.62	Professional		$38.40	$53.62	$53.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $52.26 / $73.16	Facility		$45.45	$52.26	$73.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $45.45 / $55.67	Professional		$34.61	$45.45	$55.67
United Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $28.53 / $136.35	Professional		$26.27	$28.53	$136.35