Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $45.71 / $64.57	Professional		$42.66	$45.71	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $56.23	Professional		$38.90	$38.90	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $64.57 / $74.13	Facility		$22.91	$64.57	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $223.87	Professional		$70.79	$74.13	$223.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $74.13 / $77.62	Facility		$64.57	$74.13	$77.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $75.86	Professional		$60.26	$74.13	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $75.86	Facility		$22.91	$22.91	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $70.79	Professional		$38.90	$54.95	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $40.74	Facility		$35.48	$35.48	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $190.55	Professional		$36.31	$56.23	$190.55