Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $45.71	Professional		$33.11	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $28.18	Professional		$22.91	$26.92	$28.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $30.90 / $43.65	Facility		$4.37	$30.90	$43.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $147.91	Professional		$36.31	$43.65	$147.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $4.37 / $43.65	Facility		$3.39	$4.37	$43.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $8.91 / $43.65	Professional		$3.63	$8.91	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.12 / $34.67	Facility		$17.38	$25.12	$34.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $60.26	Professional		$22.91	$26.92	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $13.18 / $28.84	Facility		$1.78	$13.18	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $42.66 / $77.62	Professional		$22.39	$42.66	$77.62