Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $16.53 / $16.53	Professional		$16.53	$16.53	$16.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $8.78 / $8.78	Professional		$8.78	$8.78	$8.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $16.53 / $23.14	Facility		$13.54	$16.53	$23.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $16.50 / $51.66	Professional		$16.36	$16.50	$51.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $16.96 / $3,495.87	Facility		$16.96	$16.96	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $16.96 / $16.96	Professional		$12.42	$16.96	$16.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $16.53 / $23.14	Facility		$13.68	$16.53	$23.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $14.44 / $20.18	Professional		$12.17	$14.44	$20.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $8.66 / $43.32	Professional		$8.39	$8.66	$43.32