Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $30.64 / $30.64	Professional		$30.64	$30.64	$30.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $30.64 / $42.90	Facility		$25.07	$30.64	$42.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $30.58 / $95.58	Professional		$30.27	$30.58	$95.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.44 / $31.44 / $3,495.87	Facility		$31.44	$31.44	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $31.44 / $31.44	Professional		$23.01	$31.44	$31.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $30.64 / $42.90	Facility		$25.33	$30.64	$42.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $26.77 / $37.33	Professional		$22.55	$26.77	$37.33
United Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $18.23 / $80.31	Professional		$15.56	$18.23	$80.31