Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.70 / $56.23	Professional		$12.02	$25.70	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $56.23	Facility		$36.31	$40.74	$56.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $79.43	Professional		$38.90	$42.66	$79.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $3,467.37	Facility		$40.74	$40.74	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $42.66 / $57.54	Facility		$23.99	$42.66	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.90 / $60.26	Professional		$17.38	$30.90	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $85.11	Professional		$20.89	$21.88	$85.11