Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $22.62 / $22.62	Professional		$22.62	$22.62	$22.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $22.62 / $31.67	Facility		$18.50	$22.62	$31.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $22.58 / $70.50	Professional		$22.33	$22.58	$70.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $23.21 / $3,495.87	Facility		$23.21	$23.21	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.21 / $23.21	Professional		$16.98	$23.21	$23.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $22.62 / $31.67	Facility		$18.71	$22.62	$31.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $19.76 / $27.54	Professional		$16.64	$19.76	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.40 / $59.28	Professional		$11.48	$12.40	$59.28