Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $42.20 / $42.20	Professional		$42.20	$42.20	$42.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $22.13 / $22.13	Facility		$22.13	$22.13	$22.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $22.13 / $22.79	Professional		$18.80	$22.13	$22.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Facility		$10.09	$10.09	$10.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $42.12 / $66.51	Professional		$29.75	$42.12	$66.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.27 / $32.27 / $43.30	Facility		$32.27	$32.27	$43.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $43.30 / $89.30	Professional		$32.27	$43.30	$89.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $32.27	Facility		$10.09	$10.09	$32.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $35.22 / $54.86	Professional		$22.13	$35.22	$54.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $46.09 / $77.43	Professional		$22.12	$46.09	$77.43