Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.61 / $60.61	Professional		$17.61	$17.61	$60.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $9.52 / $9.52	Professional		$9.52	$9.52	$9.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $24.65 / $25.18	Facility		$17.61	$24.65	$25.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $31.05 / $32.00	Professional		$23.29	$31.05	$32.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $43.20 / $46.50	Professional		$25.76	$43.20	$46.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $24.65 / $25.18	Facility		$17.61	$24.65	$25.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $31.92 / $70.84	Professional		$10.29	$31.92	$70.84
United Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $27.14 / $54.28	Professional		$11.15	$27.14	$54.28