Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $26.84 / $135.75	Professional		$26.84	$26.84	$135.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $12.25	Professional		$12.25	$12.25	$12.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $8.23 / $8.23	Facility		$8.23	$8.23	$8.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $26.48 / $26.48	Professional		$26.48	$26.48	$26.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.26 / $18.26 / $90.00	Facility		$18.26	$18.26	$90.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $90.00 / $90.00	Professional		$18.26	$90.00	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $8.23 / $18.26	Facility		$8.23	$8.23	$18.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $32.65 / $90.00	Professional		$12.25	$32.65	$90.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.56 / $59.45	Professional		$16.98	$32.56	$59.45