Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $54.93 / $54.93	Professional		$54.93	$54.93	$54.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $31.73	Professional		$31.73	$31.73	$31.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.57 / $54.93 / $76.90	Facility		$50.57	$54.93	$76.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $54.82 / $173.13	Professional		$54.82	$54.82	$173.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.36 / $56.36 / $3,495.87	Facility		$56.36	$56.36	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.36 / $56.36	Professional		$41.25	$56.36	$56.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.57 / $54.93 / $76.90	Facility		$50.57	$54.93	$76.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $47.98 / $67.63	Professional		$40.42	$47.98	$67.63
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $33.82 / $143.94	Professional		$27.89	$33.82	$143.94