Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $45.71 / $45.71	Professional		$26.30	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $23.44	Professional		$19.50	$22.91	$23.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $23.44 / $43.65	Facility		$4.37	$23.44	$43.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $147.91	Professional		$32.36	$43.65	$147.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $4.37 / $43.65	Facility		$2.88	$4.37	$43.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $7.76 / $43.65	Professional		$3.55	$7.76	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.42 / $28.84	Facility		$14.13	$20.42	$28.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $60.26	Professional		$19.50	$23.99	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $10.23 / $24.55	Facility		$1.29	$10.23	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $75.86	Professional		$21.88	$41.69	$75.86