Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $50.12 / $93.33	Professional		$19.95	$50.12	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.90	Facility		$38.02	$38.02	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $38.90	Professional		$28.18	$32.36	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $66.07 / $67.61	Facility		$19.05	$66.07	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $229.09	Professional		$60.26	$70.79	$229.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $67.61 / $67.61	Facility		$61.66	$67.61	$67.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $87.10	Professional		$54.95	$67.61	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $72.44	Facility		$19.05	$19.05	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $66.07	Professional		$28.84	$38.90	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $46.77	Facility		$23.44	$23.44	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $66.07 / $144.54	Professional		$34.67	$66.07	$144.54