Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $18.73 / $18.73	Professional		$18.73	$18.73	$18.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $24.18	Professional		$8.02	$8.02	$24.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $19.68 / $32.44	Facility		$17.25	$19.68	$32.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $59.04	Professional		$18.70	$18.70	$59.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $19.22 / $3,495.87	Facility		$19.22	$19.22	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $19.22 / $19.22	Professional		$14.07	$19.22	$19.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $18.73 / $31.44	Facility		$17.25	$18.73	$31.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $16.36 / $23.06	Professional		$13.78	$16.36	$23.06
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $10.27 / $49.08	Professional		$9.51	$10.27	$49.08