Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $23.98 / $23.98	Professional		$23.98	$23.98	$23.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $13.44 / $13.44	Facility		$13.44	$13.44	$13.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $13.44 / $13.84	Professional		$11.42	$13.44	$13.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $6.13	Facility		$6.13	$6.13	$6.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $23.93 / $66.75	Professional		$21.24	$23.93	$66.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $19.59 / $24.60	Facility		$19.59	$19.59	$24.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $24.60 / $50.72	Professional		$19.59	$24.60	$50.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $19.59	Facility		$6.13	$6.13	$19.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $20.01 / $31.17	Professional		$13.44	$20.01	$31.17
United Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $7.53 / $8.61	Facility		$7.53	$7.53	$8.61
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $24.09 / $44.00	Professional		$12.57	$24.09	$44.00