Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Professional		$35.35	$35.35	$35.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $16.01	Facility		$15.54	$15.54	$16.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $13.21 / $16.01	Professional		$10.56	$13.21	$16.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $35.28 / $55.71	Professional		$20.90	$35.28	$55.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $20.99 / $36.27	Facility		$20.99	$20.99	$36.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $36.27 / $74.78	Professional		$26.02	$36.27	$74.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $16.01	Facility		$7.08	$7.08	$16.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $26.43 / $45.96	Professional		$13.21	$26.43	$45.96
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $9.97	Facility		$8.71	$8.71	$9.97
United Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $35.51 / $64.84	Professional		$18.53	$35.51	$64.84