Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $28.12 / $51.25	Professional		$21.82	$28.12	$51.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $47.20 / $71.75	Facility		$28.12	$47.20	$71.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $77.87 / $124.57	Professional		$60.65	$77.87	$124.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $101.25 / $3,495.87	Facility		$101.25	$101.25	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $101.25 / $146.25	Professional		$53.20	$101.25	$146.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.17 / $47.20 / $71.75	Facility		$26.17	$47.20	$71.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $72.42 / $138.75	Professional		$34.83	$72.42	$138.75
United Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $79.66 / $89.62	Professional		$67.84	$79.66	$89.62