Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $22.91	Professional		$10.00	$10.96	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $11.75 / $33.88	Facility		$10.23	$11.75	$33.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $47.86	Professional		$28.84	$34.67	$47.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $46.77 / $60.26	Professional		$26.30	$46.77	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.59 / $33.88	Facility		$10.23	$12.59	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.05 / $60.26	Professional		$11.75	$19.05	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $36.31 / $54.95	Professional		$15.49	$36.31	$54.95