Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $19.25	Professional		$19.25	$19.25	$19.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $10.26	Professional		$10.26	$10.26	$10.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $19.25 / $26.95	Facility		$15.80	$19.25	$26.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.21 / $60.21	Professional		$19.07	$19.21	$60.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $19.75 / $3,495.87	Facility		$19.75	$19.75	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $19.75 / $19.75	Professional		$14.46	$19.75	$19.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $19.25 / $26.95	Facility		$15.94	$19.25	$26.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $16.82 / $23.52	Professional		$14.17	$16.82	$23.52
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.85 / $50.46	Professional		$9.77	$11.85	$50.46