Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.90 / $44.90 / $44.90	Professional		$44.90	$44.90	$44.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $55.83	Professional		$19.25	$19.25	$55.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.36 / $47.18 / $125.65	Facility		$41.36	$47.18	$125.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $44.82 / $141.54	Professional		$44.82	$44.82	$141.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $46.07 / $3,495.87	Facility		$46.07	$46.07	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $46.07 / $46.07	Professional		$33.74	$46.07	$46.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.36 / $44.90 / $121.76	Facility		$41.36	$44.90	$121.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $39.22 / $55.28	Professional		$33.04	$39.22	$55.28
United Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $27.64 / $117.69	Professional		$23.54	$27.64	$117.69