Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $64.57	Professional		$44.67	$46.77	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $52.48	Professional		$35.48	$35.48	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $64.57 / $75.86	Facility		$25.12	$64.57	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $218.78	Professional		$64.57	$75.86	$218.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $67.61	Facility		$64.57	$64.57	$67.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $67.61	Professional		$52.48	$64.57	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $81.28	Facility		$25.12	$25.12	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $74.13	Professional		$35.48	$57.54	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $58.88	Facility		$51.29	$51.29	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $165.96	Professional		$33.11	$33.11	$165.96