Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $30.12 / $30.12	Professional		$30.12	$30.12	$30.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $18.95 / $18.95	Facility		$18.95	$18.95	$18.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $18.95 / $19.52	Professional		$16.11	$18.95	$19.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $8.64 / $8.64	Facility		$8.64	$8.64	$8.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $30.06 / $47.46	Professional		$29.95	$30.06	$47.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.61 / $27.61 / $30.90	Facility		$27.61	$27.61	$30.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $30.90 / $63.75	Professional		$25.04	$30.90	$63.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $8.64 / $26.32	Facility		$8.64	$8.64	$26.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $26.32 / $39.15	Professional		$18.95	$26.32	$39.15
United Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $30.27 / $55.27	Professional		$15.79	$30.27	$55.27