Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $57.54	Professional		$20.89	$22.91	$57.54
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 $16.98 / $16.98 / $24.55	Professional		$16.98	$16.98	$24.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $36.31 / $64.57	Facility		$11.48	$36.31	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $64.57 / $120.23	Professional		$38.02	$64.57	$120.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $67.61	Facility		$34.67	$66.07	$67.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $67.61	Professional		$53.70	$66.07	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $48.98	Facility		$11.48	$11.48	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $29.51 / $60.26	Professional		$16.98	$29.51	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $20.42	Facility		$17.78	$17.78	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $50.12 / $165.96	Professional		$26.92	$50.12	$165.96