Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Professional		$37.90	$37.90	$37.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $26.85	Facility		$26.07	$26.07	$26.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $22.16	Professional		$16.07	$16.07	$22.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $10.78	Facility		$10.78	$10.78	$10.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $37.84 / $59.75	Professional		$37.40	$37.84	$59.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.49 / $34.49 / $38.90	Facility		$34.49	$34.49	$38.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $38.90 / $80.20	Professional		$31.51	$38.90	$80.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $26.85	Facility		$10.78	$10.78	$26.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $33.11 / $80.20	Professional		$22.16	$33.11	$80.20
United Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.87 / $38.09	Professional		$19.25	$19.87	$38.09