Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Professional		$23.81	$23.81	$23.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $8.42	Professional		$8.42	$8.42	$8.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $23.81 / $33.33	Facility		$12.29	$23.81	$33.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $23.77 / $42.09	Professional		$13.33	$23.77	$42.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $24.43 / $3,495.87	Facility		$24.43	$24.43	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $24.43 / $24.43	Professional		$12.27	$24.43	$24.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $23.81 / $33.33	Facility		$17.70	$23.81	$33.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $17.52 / $20.80	Professional		$10.40	$17.52	$20.80
United Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.48 / $62.40	Professional		$12.09	$12.48	$62.40