Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $25.12	Professional		$16.98	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.80 / $14.13	Professional		$11.75	$13.80	$14.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $17.78 / $23.99	Facility		$2.34	$17.78	$23.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $60.26	Professional		$18.62	$23.44	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.34 / $23.44	Facility		$1.82	$2.34	$23.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $4.79 / $23.44	Professional		$2.00	$4.79	$23.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.30 / $17.78	Facility		$8.71	$12.30	$17.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.45 / $60.26	Professional		$11.75	$14.45	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $7.76 / $15.14	Facility		$1.02	$7.76	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $22.91 / $41.69	Professional		$11.75	$22.91	$41.69