Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $62.56 / $62.56	Professional		$62.56	$62.56	$62.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $39.47 / $40.65	Professional		$33.56	$39.47	$40.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $62.44 / $98.60	Professional		$62.44	$62.44	$98.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $57.55 / $64.19	Facility		$57.55	$57.55	$64.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $64.19 / $132.35	Professional		$52.00	$64.19	$132.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $54.65	Facility		$18.00	$18.00	$54.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $52.94 / $81.33	Professional		$39.47	$52.94	$81.33
United Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $62.85 / $114.77	Professional		$32.79	$62.85	$114.77