Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $22.11 / $22.11	Professional		$22.11	$22.11	$22.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $11.73	Professional		$11.73	$11.73	$11.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $22.11 / $30.95	Facility		$18.07	$22.11	$30.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $22.06 / $68.94	Professional		$21.83	$22.06	$68.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $22.68 / $3,495.87	Facility		$22.68	$22.68	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $22.68 / $22.68	Professional		$16.61	$22.68	$22.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $22.11 / $30.95	Facility		$18.29	$22.11	$30.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $19.30 / $26.93	Professional		$16.27	$19.30	$26.93
United Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $13.61 / $57.93	Professional		$11.23	$13.61	$57.93