Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $30.90 / $57.54	Professional		$12.02	$30.90	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $26.30	Professional		$21.88	$21.88	$26.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $41.69 / $41.69	Facility		$11.75	$41.69	$41.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $131.83	Professional		$41.69	$41.69	$131.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $42.66 / $42.66	Facility		$38.02	$42.66	$42.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $53.70	Professional		$34.67	$42.66	$53.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $45.71	Facility		$11.75	$11.75	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $60.26	Professional		$21.88	$31.62	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $16.60	Facility		$14.45	$14.45	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.88 / $89.13	Professional		$21.38	$21.88	$89.13