Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $15.03 / $35.67	Professional		$7.98	$15.03	$35.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $18.26 / $39.86	Professional		$9.89	$18.26	$39.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $31.06 / $43.48	Facility		$18.29	$31.06	$43.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $60.15 / $80.70	Professional		$40.89	$60.15	$80.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $58.90 / $3,495.87	Facility		$58.90	$58.90	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $30.80 / $68.20	Professional		$20.00	$30.80	$68.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $31.06 / $43.48	Facility		$9.60	$31.06	$43.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $26.38 / $51.93	Professional		$17.50	$26.38	$51.93
United Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $25.04 / $48.12	Professional		$20.76	$25.04	$48.12