Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $37.70 / $37.70	Professional		$37.70	$37.70	$37.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $26.66 / $26.66	Facility		$26.66	$26.66	$26.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $26.66 / $27.46	Professional		$22.66	$26.66	$27.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $12.15 / $12.15	Facility		$12.15	$12.15	$12.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $42.14 / $59.42	Professional		$37.63	$42.14	$59.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $38.84 / $38.84	Facility		$38.68	$38.84	$38.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $38.68 / $79.78	Professional		$31.34	$38.68	$79.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $12.15 / $32.93	Facility		$12.15	$12.15	$32.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $32.93 / $51.98	Professional		$26.66	$32.93	$51.98
United Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $37.86 / $69.15	Professional		$19.76	$37.86	$69.15