Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $16.03 / $16.03	Professional		$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $11.42	Professional		$11.42	$11.42	$11.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $17.63 / $37.35	Facility		$16.03	$17.63	$37.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $20.43 / $20.43	Professional		$14.30	$20.43	$20.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.05 / $58.05 / $3,495.87	Facility		$58.05	$58.05	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $58.05 / $82.73	Professional		$27.03	$58.05	$82.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $17.63 / $42.53	Facility		$16.03	$17.63	$42.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $53.75 / $86.00	Professional		$20.43	$53.75	$86.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $10.89 / $52.05	Professional		$10.37	$10.89	$52.05