Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.20 / $58.20 / $58.20	Professional		$58.20	$58.20	$58.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $69.69	Professional		$24.95	$24.95	$69.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.59 / $61.14 / $149.47	Facility		$53.59	$61.14	$149.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $58.08 / $183.42	Professional		$58.08	$58.08	$183.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.71 / $59.71 / $3,495.87	Facility		$59.71	$59.71	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $59.71 / $59.71	Professional		$43.71	$59.71	$59.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.59 / $58.20 / $144.84	Facility		$53.59	$58.20	$144.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $50.84 / $71.65	Professional		$42.83	$50.84	$71.65
United Facility/Professional Professional Modifier Low / Median / High Price $29.56 / $31.91 / $152.52	Professional		$29.56	$31.91	$152.52