Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $30.90 / $61.66	Professional		$12.88	$30.90	$61.66
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 $21.38 / $21.38 / $30.20	Professional		$21.38	$21.38	$30.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $43.65 / $43.65	Facility		$11.48	$43.65	$43.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $45.71 / $147.91	Professional		$42.66	$45.71	$147.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $44.67 / $45.71	Facility		$39.81	$44.67	$45.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $56.23	Professional		$34.67	$44.67	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $47.86	Facility		$11.48	$11.48	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $60.26	Professional		$21.38	$32.36	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $30.90	Facility		$22.91	$22.91	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $40.74 / $97.72	Professional		$21.38	$40.74	$97.72