Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $14.44 / $14.44	Professional		$14.44	$14.44	$14.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.70 / $5.95	Professional		$5.70	$5.70	$5.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $14.44 / $20.22	Facility		$11.50	$14.44	$20.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $14.42 / $41.40	Professional		$13.11	$14.42	$41.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $3,495.87	Facility		$14.82	$14.82	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $14.82 / $14.82	Professional		$10.85	$14.82	$14.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $14.44 / $20.22	Facility		$11.96	$14.44	$20.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $12.61 / $17.09	Professional		$5.95	$12.61	$17.09
United Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $7.92 / $37.83	Professional		$7.33	$7.92	$37.83