Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $31.58 / $33.18	Professional		$17.53	$31.58	$33.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $37.47	Professional		$13.54	$13.54	$37.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $33.18 / $68.98	Facility		$29.07	$33.18	$68.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $31.52 / $99.54	Professional		$31.52	$31.52	$99.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $32.40 / $3,495.87	Facility		$32.40	$32.40	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $32.40 / $32.40	Professional		$23.72	$32.40	$32.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $31.58 / $66.84	Facility		$29.07	$31.58	$66.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $27.58 / $38.88	Professional		$23.24	$27.58	$38.88
United Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $19.44 / $82.74	Professional		$16.03	$19.44	$82.74