Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $43.73 / $43.73	Professional		$43.73	$43.73	$43.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $43.73 / $61.22	Facility		$38.15	$43.73	$61.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $52.73 / $118.83	Professional		$37.63	$52.73	$118.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $38.68 / $3,495.87	Facility		$38.68	$38.68	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $38.68 / $38.68	Professional		$33.42	$38.68	$38.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $43.73 / $61.22	Facility		$38.15	$43.73	$61.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $37.70 / $52.73	Professional		$32.44	$37.70	$52.73
United Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $23.21 / $104.04	Professional		$20.81	$23.21	$104.04