Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.89 / $44.67	Professional		$12.02	$20.89	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $45.71	Facility		$32.36	$32.36	$45.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $63.10	Professional		$30.90	$34.67	$63.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $3,467.37	Facility		$33.11	$33.11	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $34.67 / $51.29	Facility		$19.05	$34.67	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.12 / $60.26	Professional		$14.13	$25.12	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.38 / $69.18	Professional		$16.98	$17.38	$69.18