Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $18.89 / $18.89	Professional		$18.89	$18.89	$18.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $10.78	Facility		$10.78	$10.78	$10.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $10.78 / $11.10	Professional		$9.16	$10.78	$11.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $4.91 / $4.91	Facility		$4.91	$4.91	$4.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $18.87 / $29.79	Professional		$14.49	$18.87	$29.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.97 / $14.97 / $19.39	Facility		$14.97	$14.97	$19.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $19.39 / $40.00	Professional		$14.97	$19.39	$40.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $4.91 / $14.97	Facility		$4.91	$4.91	$14.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $15.78 / $24.57	Professional		$10.78	$15.78	$24.57
United Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $9.91 / $19.00	Professional		$9.91	$9.91	$19.00