Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $13.22 / $13.22	Professional		$13.22	$13.22	$13.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $9.99 / $9.99	Facility		$9.99	$9.99	$9.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $9.99 / $10.29	Professional		$8.49	$9.99	$10.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $4.55	Facility		$4.55	$4.55	$4.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.47 / $20.84	Professional		$13.20	$13.47	$20.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.42 / $12.42 / $13.56	Facility		$12.42	$12.42	$13.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $13.56 / $27.97	Professional		$10.99	$13.56	$27.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.55 / $11.55	Facility		$4.55	$4.55	$11.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $11.55 / $17.19	Professional		$9.73	$11.55	$17.19
United Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $6.93 / $13.28	Professional		$6.93	$6.93	$13.28