Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $44.24 / $145.78	Professional		$42.95	$44.24	$145.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $34.94 / $34.94	Professional		$34.94	$34.94	$34.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $63.26 / $63.26	Facility		$63.26	$63.26	$63.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $47.99 / $162.66	Professional		$47.99	$47.99	$162.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $49.34 / $49.34	Professional		$49.34	$49.34	$49.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $63.26 / $63.26	Facility		$63.26	$63.26	$63.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $37.47 / $42.01	Professional		$34.94	$37.47	$42.01
United Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $25.21 / $126.03	Professional		$24.42	$25.21	$126.03