Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $16.85 / $37.15	Professional		$13.53	$16.85	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $37.15 / $52.02	Facility		$17.89	$37.15	$52.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $52.14 / $84.88	Professional		$42.85	$52.14	$84.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.90 / $72.90 / $3,495.87	Facility		$72.90	$72.90	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $65.52 / $93.86	Professional		$34.45	$65.52	$93.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $37.15 / $52.02	Facility		$16.07	$37.15	$52.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $30.18 / $49.42	Professional		$15.77	$30.18	$49.42
United Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $54.36 / $68.41	Professional		$46.58	$54.36	$68.41