Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $15.85	Professional		$10.96	$10.96	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $13.18	Facility		$10.96	$10.96	$13.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $35.48	Professional		$10.96	$10.96	$35.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $25.12	Facility		$16.22	$16.22	$25.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $23.44	Facility		$16.60	$16.60	$23.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $60.26	Professional		$10.96	$12.02	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.23 / $19.05	Professional		$10.00	$10.23	$19.05