Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $40.74	Professional		$25.70	$28.18	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $28.18	Professional		$19.95	$19.95	$28.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $36.31 / $46.77	Facility		$14.13	$36.31	$46.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $158.49	Professional		$40.74	$48.98	$158.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $46.77 / $48.98	Facility		$41.69	$46.77	$48.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $47.86	Professional		$38.02	$46.77	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $48.98	Facility		$14.13	$14.13	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $35.48 / $60.26	Professional		$19.95	$35.48	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $25.12	Facility		$21.88	$21.88	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $120.23	Professional		$22.91	$35.48	$120.23