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 $19.37 / $19.37 / $19.95	Facility		$19.37	$19.37	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.46 / $19.95	Professional		$16.19	$16.46	$19.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $10.86 / $10.86	Facility		$10.86	$10.86	$10.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $42.12 / $66.51	Professional		$32.04	$42.12	$66.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.75 / $34.75 / $43.30	Facility		$34.75	$34.75	$43.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $43.30 / $89.30	Professional		$34.75	$43.30	$89.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $10.86 / $22.48	Facility		$10.86	$10.86	$22.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $35.08 / $54.86	Professional		$16.46	$35.08	$54.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $42.40 / $77.43	Professional		$22.12	$42.40	$77.43