Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $31.14 / $31.14	Professional		$31.14	$31.14	$31.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Facility		$15.15	$15.15	$15.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.15 / $15.60	Professional		$12.88	$15.15	$15.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $6.90 / $6.90	Facility		$6.90	$6.90	$6.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $31.08 / $49.08	Professional		$20.35	$31.08	$49.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $31.95	Facility		$20.99	$20.99	$31.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.92 / $31.95 / $65.90	Professional		$22.92	$31.95	$65.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $6.90 / $20.99	Facility		$6.90	$6.90	$20.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $25.10 / $40.47	Professional		$15.15	$25.10	$40.47
United Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $31.29 / $57.14	Professional		$16.32	$31.29	$57.14