Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $20.89	Professional		$14.13	$15.85	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.91 / $38.90	Facility		$15.49	$22.91	$38.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $53.70 / $93.33	Professional		$20.42	$53.70	$93.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $3,467.37	Facility		$72.44	$72.44	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $67.61 / $91.20	Professional		$34.67	$67.61	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $39.81	Facility		$14.79	$21.88	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $79.43	Professional		$16.60	$29.51	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $54.95 / $79.43	Professional		$18.20	$54.95	$79.43