Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $23.99	Professional		$18.62	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $14.45	Professional		$12.30	$14.45	$14.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $16.98 / $22.39	Facility		$2.24	$16.98	$22.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $75.86	Professional		$22.39	$22.39	$75.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.29 / $22.91	Facility		$2.04	$2.29	$22.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $4.57 / $22.91	Professional		$1.95	$4.57	$22.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.49 / $19.05	Facility		$9.55	$13.49	$19.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $60.26	Professional		$12.30	$16.98	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $7.41 / $17.78	Facility		$0.98	$7.41	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $21.88 / $40.74	Professional		$11.48	$21.88	$40.74