Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $23.99	Professional		$14.13	$16.98	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $19.05	Professional		$16.22	$16.22	$19.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.18 / $43.65	Facility		$17.78	$28.18	$43.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $97.72	Professional		$18.20	$30.20	$97.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $28.84 / $30.20	Facility		$26.30	$28.84	$30.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.84 / $28.84	Professional		$26.30	$28.84	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $20.89 / $45.71	Facility		$19.05	$20.89	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.38 / $47.86	Professional		$16.22	$21.38	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $7.59 / $19.95	Facility		$1.07	$7.59	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $56.23	Professional		$12.02	$14.79	$56.23