Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $39.81	Professional		$34.67	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $28.18	Professional		$23.99	$28.18	$28.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $28.18 / $38.02	Facility		$3.80	$28.18	$38.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $128.82	Professional		$38.02	$39.81	$128.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $40.74	Facility		$3.80	$3.80	$40.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $7.76 / $38.02	Professional		$3.16	$7.76	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $24.55 / $38.02	Facility		$16.22	$24.55	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $60.26	Professional		$23.99	$33.88	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $11.48 / $30.90	Facility		$1.55	$11.48	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $37.15 / $67.61	Professional		$19.50	$37.15	$67.61