Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $10.93 / $12.04	Professional		$10.93	$10.93	$12.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $25.50 / $35.70	Facility		$21.11	$25.50	$35.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $25.45 / $80.37	Professional		$25.45	$25.45	$80.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $26.16 / $3,495.87	Facility		$26.16	$26.16	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $26.16 / $26.16	Professional		$19.16	$26.16	$26.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $25.50 / $35.70	Facility		$21.11	$25.50	$35.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $22.28 / $31.39	Professional		$12.04	$22.28	$31.39
United Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $13.37 / $66.84	Professional		$12.95	$13.37	$66.84