Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $23.42 / $23.42	Professional		$23.42	$23.42	$23.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $7.51 / $7.51	Facility		$7.51	$7.51	$7.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $7.51 / $7.74	Professional		$6.38	$7.51	$7.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $3.42 / $3.42	Facility		$3.42	$3.42	$3.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $23.38 / $36.92	Professional		$10.10	$23.38	$36.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $10.95 / $24.03	Facility		$10.95	$10.95	$24.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $24.03 / $49.55	Professional		$17.23	$24.03	$49.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $3.42 / $10.95	Facility		$3.42	$3.42	$10.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $17.51 / $30.45	Professional		$7.51	$17.51	$30.45
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $23.53 / $42.97	Professional		$12.28	$23.53	$42.97