Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $43.99	Professional		$30.00	$30.00	$43.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $33.00 / $42.00	Facility		$30.00	$33.00	$42.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $36.14 / $114.12	Professional		$36.14	$36.14	$114.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $3,495.87	Facility		$70.00	$70.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $70.00	Professional		$55.00	$70.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $38.04 / $42.90	Facility		$30.00	$38.04	$42.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $44.32 / $70.00	Professional		$14.68	$44.32	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.16 / $110.79	Professional		$22.16	$22.16	$110.79