Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $34.67 / $64.57	Professional		$14.13	$34.67	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $30.20	Professional		$24.55	$24.55	$30.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $48.98 / $54.95	Facility		$13.18	$48.98	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $147.91	Professional		$46.77	$54.95	$147.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $54.95 / $54.95	Facility		$42.66	$54.95	$54.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $70.79	Professional		$44.67	$54.95	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $54.95	Facility		$13.18	$13.18	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $60.26	Professional		$24.55	$35.48	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $18.62	Facility		$16.22	$16.22	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $53.70 / $100.00	Professional		$27.54	$53.70	$100.00