Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $20.95	Professional		$20.95	$20.95	$20.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.31 / $39.45 / $55.23	Facility		$32.31	$39.45	$55.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $39.38 / $123.12	Professional		$38.99	$39.38	$123.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $40.47 / $3,495.87	Facility		$40.47	$40.47	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $40.47 / $40.47	Professional		$29.63	$40.47	$40.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.63 / $39.45 / $55.23	Facility		$32.63	$39.45	$55.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $34.46 / $48.10	Professional		$29.03	$34.46	$48.10
United Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $23.50 / $103.38	Professional		$20.03	$23.50	$103.38