Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $43.06 / $43.06	Professional		$43.06	$43.06	$43.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Facility		$28.50	$28.50	$28.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $28.50 / $29.36	Professional		$20.81	$28.50	$29.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $11.45 / $11.45	Facility		$11.45	$11.45	$11.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $67.89	Professional		$43.00	$43.00	$67.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $39.57 / $44.25	Facility		$39.57	$39.57	$44.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $44.25 / $88.18	Professional		$34.54	$44.25	$88.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $11.45 / $35.53	Facility		$11.45	$11.45	$35.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $35.27 / $55.98	Professional		$28.50	$35.27	$55.98
United Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $40.86 / $74.61	Professional		$21.32	$40.86	$74.61