Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $10.02 / $49.79	Professional		$8.17	$10.02	$49.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $14.33 / $72.81	Facility		$14.33	$14.33	$72.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $55.55	Professional		$16.39	$16.39	$55.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $16.85	Professional		$16.85	$16.85	$16.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $14.33 / $72.81	Facility		$14.33	$14.33	$72.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $14.35 / $15.11	Professional		$10.19	$14.35	$15.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $28.70 / $43.05	Professional		$17.19	$28.70	$43.05