Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $69.18 / $69.18	Professional		$34.67	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $131.83	Professional		$79.43	$114.82	$131.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $169.82 / $169.82	Facility		$54.95	$169.82	$169.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $169.82 / $181.97	Professional		$54.95	$169.82	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $54.95	Professional		$40.74	$40.74	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $263.03	Professional		$104.71	$104.71	$263.03