Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $53.83 / $53.83	Professional		$53.83	$53.83	$53.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Facility		$33.97	$33.97	$33.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $33.97 / $35.00	Professional		$28.88	$33.97	$35.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $15.48 / $15.48	Facility		$15.48	$15.48	$15.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $53.73 / $84.84	Professional		$53.73	$53.73	$84.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $49.52 / $55.23	Facility		$49.52	$49.52	$55.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $55.23 / $113.90	Professional		$44.75	$55.23	$113.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $15.48 / $47.03	Facility		$15.48	$15.48	$47.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $45.56 / $69.98	Professional		$33.97	$45.56	$69.98
United Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $28.22 / $54.08	Professional		$28.22	$28.22	$54.08