Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $34.36 / $34.36	Professional		$34.36	$34.36	$34.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $41.08	Professional		$14.73	$14.73	$41.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.64 / $36.10 / $62.00	Facility		$31.64	$36.10	$62.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $34.29 / $108.30	Professional		$34.29	$34.29	$108.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $35.25 / $3,495.87	Facility		$35.25	$35.25	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $35.25 / $35.25	Professional		$25.80	$35.25	$35.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.64 / $34.36 / $60.09	Facility		$31.64	$34.36	$60.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $30.02 / $42.30	Professional		$25.29	$30.02	$42.30
United Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $19.85 / $90.06	Professional		$17.45	$19.85	$90.06