Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $31.95 / $31.95	Professional		$31.95	$31.95	$31.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $18.01	Professional		$13.56	$13.56	$18.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $31.95 / $44.73	Facility		$26.16	$31.95	$44.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $31.89 / $99.69	Professional		$31.57	$31.89	$99.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.78 / $32.78 / $3,495.87	Facility		$32.78	$32.78	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.78 / $32.78	Professional		$23.99	$32.78	$32.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $31.95 / $44.73	Facility		$26.43	$31.95	$44.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $27.90 / $38.94	Professional		$18.01	$27.90	$38.94
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.51 / $83.70	Professional		$16.22	$17.51	$83.70