Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Facility		$48.76	$48.76	$48.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $48.97 / $64.64	Professional		$34.96	$48.97	$64.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $57.96	Professional		$20.99	$20.99	$57.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $51.45 / $151.11	Facility		$45.09	$51.45	$151.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $48.88 / $154.35	Professional		$48.88	$48.88	$154.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.24 / $50.24 / $3,495.87	Facility		$50.24	$50.24	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $50.24 / $50.24	Professional		$36.78	$50.24	$50.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.09 / $48.97 / $146.44	Facility		$45.09	$48.97	$146.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $42.77 / $60.29	Professional		$36.04	$42.77	$60.29
United Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $25.66 / $105.53	Professional		$25.66	$25.66	$105.53