Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $41.78 / $41.78	Professional		$41.78	$41.78	$41.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $17.91 / $49.51	Professional		$17.91	$17.91	$49.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $43.90 / $80.89	Facility		$38.47	$43.90	$80.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $41.71 / $131.69	Professional		$41.71	$41.71	$131.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.87 / $42.87 / $3,495.87	Facility		$42.87	$42.87	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $42.87 / $42.87	Professional		$31.39	$42.87	$42.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $41.78 / $78.39	Facility		$38.47	$41.78	$78.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $36.50 / $51.44	Professional		$30.75	$36.50	$51.44
United Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $22.91 / $109.50	Professional		$21.22	$22.91	$109.50