Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $41.19 / $41.19	Professional		$23.95	$41.19	$41.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $22.09	Professional		$22.09	$22.09	$22.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $41.19 / $57.67	Facility		$34.06	$41.19	$57.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $129.81	Professional		$41.11	$41.11	$129.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.26 / $42.26 / $3,495.87	Facility		$42.26	$42.26	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $42.26 / $42.26	Professional		$30.94	$42.26	$42.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $41.19 / $57.67	Facility		$34.06	$41.19	$57.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $35.97 / $50.71	Professional		$30.31	$35.97	$50.71
United Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $22.50 / $45.00	Professional		$22.50	$22.50	$45.00