Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $21.79 / $21.79	Professional		$21.79	$21.79	$21.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Professional		$11.59	$11.59	$11.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $21.79 / $30.51	Facility		$17.86	$21.79	$30.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $21.76 / $68.09	Professional		$21.57	$21.76	$68.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $22.36 / $3,495.87	Facility		$22.36	$22.36	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $22.36 / $22.36	Professional		$16.37	$22.36	$22.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $21.79 / $30.51	Facility		$18.03	$21.79	$30.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $16.84 / $19.04	Professional		$12.67	$16.84	$19.04
United Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $11.42 / $57.12	Professional		$11.07	$11.42	$57.12