Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $13.69 / $29.83	Professional		$11.18	$13.69	$29.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $19.89 / $62.26	Professional		$12.09	$19.89	$62.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $26.08 / $41.76	Facility		$13.92	$26.08	$41.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $37.02 / $61.21	Professional		$28.30	$37.02	$61.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $45.90 / $3,495.87	Facility		$45.90	$45.90	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $46.80 / $68.40	Professional		$26.00	$46.80	$68.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $26.08 / $41.76	Facility		$12.79	$26.08	$41.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $34.14 / $68.25	Professional		$17.10	$34.14	$68.25
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $38.52 / $77.04	Professional		$32.15	$38.52	$77.04