Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $22.30 / $39.64	Professional		$16.00	$22.30	$39.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $15.18 / $15.18	Professional		$15.18	$15.18	$15.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $36.93 / $55.50	Facility		$18.95	$36.93	$55.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $46.00 / $73.70	Professional		$37.20	$46.00	$73.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $3,495.87	Facility		$62.10	$62.10	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $60.00 / $84.18	Professional		$31.20	$60.00	$84.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $36.93 / $55.50	Facility		$17.38	$36.93	$55.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $42.19 / $81.70	Professional		$20.62	$42.19	$81.70
United Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $45.30 / $94.00	Professional		$40.77	$45.30	$94.00