Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Professional		$14.70	$14.70	$14.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $7.80 / $7.80	Professional		$7.80	$7.80	$7.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $14.70 / $20.58	Facility		$12.03	$14.70	$20.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.67 / $45.84	Professional		$14.52	$14.67	$45.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $15.08 / $3,495.87	Facility		$15.08	$15.08	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.08 / $15.08	Professional		$11.03	$15.08	$15.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $14.70 / $20.58	Facility		$12.14	$14.70	$20.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $12.83 / $17.89	Professional		$10.82	$12.83	$17.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $7.70 / $38.49	Professional		$7.46	$7.70	$38.49