Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.92 / $26.92	Professional		$23.44	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $40.74 / $40.74	Professional		$16.22	$40.74	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.39 / $37.15	Facility		$14.45	$22.39	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $36.31 / $53.70	Professional		$17.78	$36.31	$53.70