Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $36.58 / $36.58	Professional		$36.58	$36.58	$36.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $19.44	Professional		$19.44	$19.44	$19.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $36.58 / $51.21	Facility		$29.98	$36.58	$51.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $36.51 / $114.21	Professional		$36.17	$36.51	$114.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.53 / $37.53 / $3,495.87	Facility		$37.53	$37.53	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $37.53 / $37.53	Professional		$27.48	$37.53	$37.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $36.58 / $51.21	Facility		$30.25	$36.58	$51.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.96 / $44.62	Professional		$26.92	$31.96	$44.62
United Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $21.80 / $95.88	Professional		$18.57	$21.80	$95.88