Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $41.69 / $91.20	Professional		$19.95	$41.69	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $42.66	Professional		$34.67	$34.67	$42.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $69.18 / $81.28	Facility		$18.62	$69.18	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $177.83	Professional		$56.23	$81.28	$177.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $81.28 / $81.28	Facility		$53.70	$81.28	$81.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $102.33	Professional		$66.07	$81.28	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $77.62	Facility		$18.62	$18.62	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $60.26	Professional		$34.67	$45.71	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $26.30	Facility		$22.91	$22.91	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $41.69 / $141.25	Professional		$40.74	$41.69	$141.25