Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $26.92	Professional		$15.85	$19.95	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $29.51 / $45.71	Facility		$18.62	$29.51	$45.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $47.86 / $64.57	Professional		$27.54	$47.86	$64.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $67.61 / $100.00	Professional		$33.11	$67.61	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $28.18 / $45.71	Facility		$16.98	$28.18	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.05 / $28.84	Professional		$17.78	$19.05	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $46.77 / $70.79	Professional		$18.20	$46.77	$70.79