Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $26.92	Professional		$19.95	$25.12	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $31.62 / $48.98	Facility		$15.49	$31.62	$48.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $151.36	Professional		$58.88	$70.79	$151.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $144.54	Professional		$85.11	$104.71	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $26.30 / $46.77	Facility		$19.95	$26.30	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $50.12 / $66.07	Professional		$23.99	$50.12	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $57.54 / $125.89	Professional		$23.99	$57.54	$125.89