Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $28.84	Professional		$16.98	$19.95	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $74.13	Professional		$15.49	$22.39	$74.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $24.55 / $47.86	Facility		$16.22	$24.55	$47.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $74.13	Professional		$30.20	$45.71	$74.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $87.10	Professional		$28.84	$47.86	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $28.18 / $47.86	Facility		$16.22	$28.18	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.92 / $74.13	Professional		$17.38	$26.92	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $51.29 / $61.66	Professional		$15.14	$51.29	$61.66