Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $65.89	Professional		$34.72	$34.72	$65.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $42.32	Professional		$14.88	$14.88	$42.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.97 / $36.47 / $94.85	Facility		$31.97	$36.47	$94.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $34.65 / $109.41	Professional		$34.65	$34.65	$109.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $35.61 / $3,495.87	Facility		$35.61	$35.61	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $35.61 / $35.61	Professional		$26.08	$35.61	$35.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.97 / $34.72 / $91.92	Facility		$31.97	$34.72	$91.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $30.33 / $42.74	Professional		$25.55	$30.33	$42.74
United Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $20.05 / $90.99	Professional		$17.63	$20.05	$90.99