Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $20.55 / $102.12	Professional		$16.73	$20.55	$102.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Professional		$29.14	$29.14	$29.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $29.39 / $32.22	Facility		$29.39	$29.39	$32.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $33.63 / $113.99	Professional		$33.63	$33.63	$113.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $34.57 / $34.57	Professional		$34.57	$34.57	$34.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $29.39 / $32.22	Facility		$29.39	$29.39	$32.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $29.43 / $30.99	Professional		$26.25	$29.43	$30.99
United Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $58.86 / $88.29	Professional		$35.27	$58.86	$88.29