Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $7.84 / $10.72	Professional		$7.84	$7.84	$10.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $16.57 / $22.08	Facility		$12.45	$16.57	$22.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $15.74 / $46.08	Professional		$14.59	$15.74	$46.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $16.18 / $16.18	Professional		$12.75	$16.18	$16.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $16.57 / $22.08	Facility		$14.03	$16.57	$22.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $14.62 / $19.42	Professional		$7.84	$14.62	$19.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.65 / $41.34	Professional		$8.01	$8.65	$41.34