Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.96 / $23.99	Professional		$5.01	$10.96	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.38 / $20.42	Facility		$13.49	$17.38	$20.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $54.95	Professional		$15.85	$18.20	$54.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $3,467.37	Facility		$17.38	$17.38	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.38 / $23.99	Facility		$10.00	$17.38	$23.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $13.18 / $60.26	Professional		$7.41	$13.18	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.33 / $36.31	Professional		$8.91	$9.33	$36.31