Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $15.85	Professional		$6.03	$10.00	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $18.62 / $37.15	Facility		$8.91	$18.62	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.88 / $20.42	Professional		$6.03	$12.88	$20.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $3,467.37	Facility		$57.54	$57.54	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $79.43	Professional		$26.92	$57.54	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $19.50 / $37.15	Facility		$11.75	$19.50	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $60.26	Professional		$11.48	$14.45	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $42.66	Professional		$10.47	$10.47	$42.66