Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.88 / $25.12	Professional		$6.03	$12.88	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $13.80	Professional		$11.22	$11.22	$13.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $21.88 / $22.39	Facility		$6.03	$21.88	$22.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $60.26	Professional		$18.20	$22.39	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.91 / $22.91	Facility		$16.98	$22.91	$22.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $28.84	Professional		$18.62	$22.91	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $22.39	Facility		$6.03	$6.03	$22.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.45 / $60.26	Professional		$11.22	$14.45	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $8.51	Facility		$7.41	$7.41	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.48 / $45.71	Professional		$11.22	$11.48	$45.71