Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $26.87 / $26.87	Professional		$26.87	$26.87	$26.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $26.87 / $37.61	Facility		$21.34	$26.87	$37.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $26.89 / $75.56	Professional		$23.93	$26.89	$75.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $27.56 / $3,495.87	Facility		$27.56	$27.56	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $27.56 / $27.56	Professional		$19.73	$27.56	$27.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $26.87 / $37.61	Facility		$23.36	$26.87	$37.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $23.36 / $29.35	Professional		$18.23	$23.36	$29.35
United Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $16.54 / $70.08	Professional		$13.51	$16.54	$70.08