Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $69.18	Professional		$21.88	$33.11	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $44.67 / $75.86	Facility		$26.92	$44.67	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $83.18 / $165.96	Professional		$35.48	$83.18	$165.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $3,467.37	Facility		$109.65	$109.65	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $169.82	Professional		$57.54	$109.65	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $41.69 / $72.44	Facility		$25.70	$41.69	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $89.13	Professional		$37.15	$58.88	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $95.50 / $204.17	Professional		$31.62	$95.50	$204.17