Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $54.95	Professional		$33.88	$37.15	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $39.81	Professional		$28.18	$28.18	$39.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $53.70 / $60.26	Facility		$18.62	$53.70	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $204.17	Professional		$52.48	$64.57	$204.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $61.66 / $64.57	Facility		$54.95	$61.66	$64.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $63.10	Professional		$50.12	$61.66	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $64.57	Facility		$18.62	$18.62	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $60.26	Professional		$28.18	$46.77	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $33.11	Facility		$28.18	$28.18	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $158.49	Professional		$30.20	$46.77	$158.49