Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $61.66	Professional		$43.65	$61.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $36.31	Professional		$30.20	$35.48	$36.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $40.74 / $57.54	Facility		$5.75	$40.74	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $194.98	Professional		$50.12	$57.54	$194.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $5.75 / $57.54	Facility		$4.68	$5.75	$57.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $12.02 / $57.54	Professional		$4.79	$12.02	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $31.62 / $45.71	Facility		$22.91	$31.62	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $66.07	Professional		$30.20	$37.15	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $17.78 / $38.90	Facility		$2.34	$17.78	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $56.23 / $102.33	Professional		$29.51	$56.23	$102.33