Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $60.06 / $60.06	Professional		$60.06	$60.06	$60.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.90 / $39.04	Professional		$32.22	$37.90	$39.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $17.28 / $17.28	Facility		$17.28	$17.28	$17.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $59.95 / $94.65	Professional		$59.95	$59.95	$94.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $55.25 / $61.62	Facility		$55.25	$55.25	$61.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $61.62 / $127.07	Professional		$49.93	$61.62	$127.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $17.28 / $52.47	Facility		$17.28	$17.28	$52.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $50.83 / $78.08	Professional		$37.90	$50.83	$78.08
United Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $31.48 / $104.71	Professional		$30.50	$31.48	$104.71