Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $13.05 / $13.05	Professional		$5.36	$13.05	$13.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $10.29	Professional		$7.45	$7.45	$10.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $14.36 / $30.71	Facility		$13.05	$14.36	$30.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $16.63 / $16.63	Professional		$11.64	$16.63	$16.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $47.25 / $3,495.87	Facility		$47.25	$47.25	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $47.25 / $67.34	Professional		$22.00	$47.25	$67.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $17.91 / $34.29	Facility		$13.05	$17.91	$34.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $45.50 / $70.00	Professional		$15.75	$45.50	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.47 / $42.36	Professional		$8.44	$8.47	$42.36