Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.11 / $52.48	Professional		$16.98	$33.11	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $58.88 / $61.66	Facility		$43.65	$58.88	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $60.26	Professional		$21.88	$34.67	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $3,467.37	Facility		$58.88	$58.88	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $53.70 / $75.86	Facility		$31.62	$53.70	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $60.26	Professional		$30.90	$44.67	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.62 / $114.82	Professional		$30.20	$31.62	$114.82