Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $74.13	Professional		$30.20	$30.20	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $45.71	Professional		$37.15	$43.65	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $28.84 / $61.66	Facility		$2.82	$28.84	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $97.72	Professional		$28.84	$44.67	$97.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $8.13 / $79.43	Facility		$2.88	$8.13	$79.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $5.89 / $28.84	Professional		$2.45	$5.89	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $48.98 / $72.44	Facility		$36.31	$48.98	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $77.62	Professional		$37.15	$60.26	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $27.54 / $61.66	Facility		$3.89	$27.54	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.18 / $51.29	Professional		$14.79	$28.18	$51.29