Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $33.11	Professional		$10.00	$12.88	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.78 / $30.20	Facility		$17.38	$17.78	$30.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.62 / $35.48	Professional		$13.49	$18.62	$35.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $3,467.37	Facility		$17.78	$17.78	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $18.62 / $45.71	Facility		$10.47	$18.62	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $13.49 / $60.26	Professional		$7.59	$13.49	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.55 / $37.15	Professional		$9.12	$9.55	$37.15