Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.70 / $41.69	Professional		$15.85	$25.70	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $36.31 / $72.44	Facility		$23.44	$36.31	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $72.44 / $131.83	Professional		$28.84	$72.44	$131.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $3,467.37	Facility		$102.33	$102.33	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $102.33 / $141.25	Professional		$51.29	$102.33	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $70.79	Facility		$22.91	$33.88	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $47.86 / $75.86	Professional		$26.30	$47.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $79.43 / $91.20	Professional		$26.30	$79.43	$91.20