Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.14 / $26.92	Professional		$8.91	$15.14	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $25.70 / $53.70	Facility		$12.30	$25.70	$53.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.85 / $60.26	Professional		$7.94	$15.85	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $3,467.37	Facility		$79.43	$79.43	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $79.43 / $109.65	Professional		$37.15	$79.43	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $27.54 / $53.70	Facility		$16.22	$27.54	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $60.26	Professional		$16.98	$19.50	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.45 / $58.88	Professional		$14.13	$14.45	$58.88