Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $52.76 / $52.76	Professional		$52.76	$52.76	$52.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $28.02	Professional		$28.02	$28.02	$28.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.21 / $52.76 / $73.86	Facility		$43.21	$52.76	$73.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $52.66 / $164.67	Professional		$52.15	$52.66	$164.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.13 / $54.13 / $3,495.87	Facility		$54.13	$54.13	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $54.13 / $54.13	Professional		$39.63	$54.13	$54.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $52.76 / $73.86	Facility		$43.64	$52.76	$73.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $46.09 / $64.31	Professional		$38.83	$46.09	$64.31
United Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $31.42 / $138.27	Professional		$26.79	$31.42	$138.27