Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $26.75 / $26.75	Professional		$26.75	$26.75	$26.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $26.75 / $37.45	Facility		$21.91	$26.75	$37.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $26.70 / $83.52	Professional		$26.45	$26.70	$83.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $27.45 / $3,495.87	Facility		$27.45	$27.45	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $27.45 / $27.45	Professional		$20.09	$27.45	$27.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $26.75 / $37.45	Facility		$22.11	$26.75	$37.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $23.37 / $32.63	Professional		$19.69	$23.37	$32.63
United Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $15.94 / $70.11	Professional		$13.58	$15.94	$70.11