Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $33.88	Professional		$15.85	$28.84	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $117.49	Professional		$28.84	$34.67	$117.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.20 / $44.67	Facility		$20.89	$30.20	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.92 / $60.26	Professional		$16.22	$26.92	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $57.54 / $89.13	Professional		$28.18	$57.54	$89.13