Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $64.57	Professional		$37.15	$41.69	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $41.69	Professional		$29.51	$29.51	$41.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $64.57 / $72.44	Facility		$19.95	$64.57	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $218.78	Professional		$69.18	$72.44	$218.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $74.13 / $77.62	Facility		$61.66	$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 $19.95 / $19.95 / $74.13	Facility		$19.95	$19.95	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $67.61	Professional		$29.51	$52.48	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $35.48	Facility		$30.90	$30.90	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $190.55	Professional		$36.31	$56.23	$190.55