Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $36.46 / $36.46	Professional		$36.46	$36.46	$36.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $21.22 / $21.22	Facility		$21.22	$21.22	$21.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $21.22 / $21.86	Professional		$18.04	$21.22	$21.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $9.68 / $9.68	Facility		$9.68	$9.68	$9.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $36.39 / $57.47	Professional		$28.52	$36.39	$57.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.93 / $30.93 / $37.40	Facility		$30.93	$30.93	$37.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $37.40 / $77.15	Professional		$30.31	$37.40	$77.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $9.68 / $30.93	Facility		$9.68	$9.68	$30.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $30.86 / $47.40	Professional		$21.22	$30.86	$47.40
United Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $36.63 / $66.89	Professional		$19.11	$36.63	$66.89