Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $23.77 / $23.77	Professional		$23.77	$23.77	$23.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $29.16	Professional		$10.19	$10.19	$29.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $24.98 / $40.65	Facility		$21.89	$24.98	$40.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $23.73 / $74.94	Professional		$23.73	$23.73	$74.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $3,495.87	Facility		$24.39	$24.39	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $24.39 / $24.39	Professional		$17.86	$24.39	$24.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $23.77 / $39.39	Facility		$21.89	$23.77	$39.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $20.77 / $29.27	Professional		$17.50	$20.77	$29.27
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $14.63 / $62.31	Professional		$12.07	$14.63	$62.31