Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $21.88	Professional		$15.14	$15.14	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $32.36	Facility		$22.91	$22.91	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $60.26	Professional		$15.14	$15.14	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $25.12 / $38.90	Facility		$24.55	$25.12	$38.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $32.36	Facility		$22.91	$22.91	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $60.26	Professional		$16.98	$16.98	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.85 / $251.19	Professional		$15.49	$15.85	$251.19