Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $45.22 / $45.22	Professional		$15.17	$45.22	$45.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $55.44	Professional		$19.38	$19.38	$55.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $47.51 / $65.70	Facility		$41.64	$47.51	$65.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $45.13 / $142.53	Professional		$45.13	$45.13	$142.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $46.40 / $3,495.87	Facility		$46.40	$46.40	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $46.40 / $46.40	Professional		$33.97	$46.40	$46.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $45.22 / $64.66	Facility		$41.64	$45.22	$64.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $39.50 / $55.68	Professional		$33.28	$39.50	$55.68
United Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $26.12 / $118.50	Professional		$22.96	$26.12	$118.50