Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $15.14	Professional		$12.02	$12.88	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $20.89 / $30.20	Facility		$13.49	$20.89	$30.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $20.89	Professional		$12.02	$12.88	$20.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.12 / $3,467.37	Facility		$21.88	$25.12	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.98 / $18.62	Professional		$15.49	$16.98	$18.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.98 / $23.44	Facility		$15.14	$16.98	$23.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $16.22	Professional		$13.18	$13.18	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $38.90	Professional		$12.88	$19.50	$38.90