Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $16.27 / $38.07	Professional		$7.37	$16.27	$38.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $20.83	Professional		$20.83	$20.83	$20.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $22.78 / $53.30	Facility		$11.37	$22.78	$53.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $50.94 / $78.40	Professional		$24.45	$50.94	$78.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $35.10 / $3,495.87	Facility		$35.10	$35.10	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $46.41 / $104.50	Professional		$20.93	$46.41	$104.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $22.78 / $53.30	Facility		$11.37	$22.78	$53.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $40.50 / $96.00	Professional		$18.66	$40.50	$96.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $56.00 / $112.00	Professional		$51.01	$56.00	$112.00