Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $31.50 / $51.68	Professional		$21.50	$31.50	$51.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $35.00 / $72.34	Facility		$19.98	$35.00	$72.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $26.39 / $32.78	Professional		$22.94	$26.39	$32.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $48.30 / $100.05	Professional		$31.40	$48.30	$100.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $36.10 / $72.34	Facility		$19.98	$36.10	$72.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $22.94 / $32.78	Professional		$18.97	$22.94	$32.78
United Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $54.00 / $96.35	Professional		$48.60	$54.00	$96.35