Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $13.32 / $13.32	Professional		$13.32	$13.32	$13.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $7.09 / $7.09	Professional		$7.09	$7.09	$7.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $13.32 / $18.64	Facility		$10.91	$13.32	$18.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $13.30 / $41.64	Professional		$13.19	$13.30	$41.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $13.67 / $3,495.87	Facility		$13.67	$13.67	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $13.67 / $13.67	Professional		$10.01	$13.67	$13.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $13.32 / $18.64	Facility		$11.02	$13.32	$18.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $11.64 / $16.26	Professional		$9.80	$11.64	$16.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $7.94 / $34.92	Professional		$6.77	$7.94	$34.92