Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $51.29	Professional		$30.90	$32.36	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $74.13	Facility		$51.29	$51.29	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $60.26	Professional		$30.20	$32.36	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $53.70 / $85.11	Facility		$41.69	$53.70	$85.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $74.13	Facility		$51.29	$51.29	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $60.26	Professional		$32.36	$32.36	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $64.57	Professional		$32.36	$47.86	$64.57