Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $37.15	Professional		$28.84	$28.84	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $32.36 / $44.67	Facility		$29.51	$32.36	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $60.26	Professional		$28.84	$28.84	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $32.36 / $44.67	Facility		$29.51	$32.36	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $870.96 / $870.96	Professional		$60.26	$870.96	$870.96