Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $63.10	Professional		$44.67	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $38.02	Professional		$30.90	$36.31	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $41.69 / $58.88	Facility		$5.89	$41.69	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $199.53	Professional		$51.29	$58.88	$199.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $5.89 / $58.88	Facility		$4.68	$5.89	$58.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $12.30 / $58.88	Professional		$4.90	$12.30	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $32.36 / $47.86	Facility		$23.44	$32.36	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $67.61	Professional		$30.90	$37.15	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $18.20 / $39.81	Facility		$2.40	$18.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $104.71	Professional		$30.20	$57.54	$104.71