Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $63.90 / $63.90	Professional		$63.90	$63.90	$63.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $39.94 / $39.94	Facility		$39.94	$39.94	$39.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $39.94 / $41.14	Professional		$33.95	$39.94	$41.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $63.77 / $100.70	Professional		$63.16	$63.77	$100.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.21 / $58.21 / $65.56	Facility		$58.21	$58.21	$65.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.13 / $65.56 / $135.22	Professional		$53.13	$65.56	$135.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $55.83	Facility		$18.20	$18.20	$55.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $54.09 / $83.07	Professional		$39.94	$54.09	$83.07
United Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $33.50 / $64.20	Professional		$32.45	$33.50	$64.20