Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $27.96 / $27.96	Professional		$27.96	$27.96	$27.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $27.96 / $39.14	Facility		$23.12	$27.96	$39.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $27.91 / $88.14	Professional		$27.91	$27.91	$88.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $28.69 / $3,495.87	Facility		$28.69	$28.69	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $28.69 / $28.69	Professional		$21.00	$28.69	$28.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $27.96 / $39.14	Facility		$23.12	$27.96	$39.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $24.42 / $34.43	Professional		$20.58	$24.42	$34.43
United Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $15.33 / $73.26	Professional		$14.20	$15.33	$73.26