Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $19.05	Professional		$10.00	$16.98	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.99 / $23.99	Facility		$14.13	$23.99	$23.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $81.28	Professional		$16.98	$25.12	$81.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.42 / $21.38	Facility		$14.13	$20.42	$21.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $60.26	Professional		$14.13	$16.98	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $60.26	Professional		$25.70	$38.90	$60.26