Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $40.58 / $40.58	Professional		$40.58	$40.58	$40.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $48.91	Professional		$17.39	$17.39	$48.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $42.64 / $86.23	Facility		$37.36	$42.64	$86.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $40.51 / $127.92	Professional		$40.51	$40.51	$127.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $41.64 / $3,495.87	Facility		$41.64	$41.64	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $41.64 / $41.64	Professional		$30.48	$41.64	$41.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $40.58 / $83.56	Facility		$37.36	$40.58	$83.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $35.45 / $49.97	Professional		$29.86	$35.45	$49.97
United Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $23.44 / $106.35	Professional		$20.60	$23.44	$106.35