Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $50.12	Professional		$33.11	$41.69	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $52.48 / $54.95	Facility		$41.69	$52.48	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $165.96	Professional		$41.69	$52.48	$165.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $83.18 / $3,467.37	Facility		$54.95	$83.18	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $54.95 / $58.88	Facility		$41.69	$54.95	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Professional		$39.81	$39.81	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $131.83	Professional		$30.90	$30.90	$131.83