Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $44.99 / $44.99	Professional		$44.99	$44.99	$44.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $19.82 / $19.82	Facility		$19.82	$19.82	$19.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.82 / $20.42	Professional		$16.86	$19.82	$20.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $20.51 / $28.95	Facility		$16.34	$20.51	$28.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $33.54 / $51.49	Professional		$4.47	$33.54	$51.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $42.70 / $64.28	Professional		$2.57	$42.70	$64.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $20.19 / $28.95	Facility		$16.34	$20.19	$28.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.82 / $20.42	Professional		$16.86	$19.82	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $40.93 / $74.73	Professional		$21.35	$40.93	$74.73