Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $42.66	Professional		$28.84	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $23.99	Professional		$19.95	$23.44	$23.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $30.20 / $40.74	Facility		$4.07	$30.20	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $138.04	Professional		$32.36	$40.74	$138.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $4.07 / $40.74	Facility		$3.09	$4.07	$40.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $8.32 / $40.74	Professional		$3.39	$8.32	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.89 / $30.20	Facility		$15.14	$20.89	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $60.26	Professional		$19.95	$23.99	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $12.02 / $25.12	Facility		$1.62	$12.02	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.90 / $70.79	Professional		$20.42	$38.90	$70.79