Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $63.72 / $63.72	Professional		$63.72	$63.72	$63.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.20 / $63.72 / $89.21	Facility		$47.20	$63.72	$89.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.08 / $75.52 / $3,495.87	Facility		$66.08	$75.52	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $51.92 / $56.64	Professional		$40.11	$51.92	$56.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.20 / $63.72 / $94.40	Facility		$47.20	$63.72	$94.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $7.63 / $56.64	Professional		$7.32	$7.63	$56.64
United Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $60.08 / $117.99	Professional		$59.00	$60.08	$117.99