Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $38.45 / $38.45	Professional		$38.45	$38.45	$38.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Facility		$27.10	$27.10	$27.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $27.10 / $79.16	Professional		$19.78	$27.10	$79.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $13.23 / $13.23	Facility		$13.23	$13.23	$13.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $42.64 / $67.31	Professional		$42.64	$42.64	$67.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $43.83 / $43.83	Professional		$43.83	$43.83	$43.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $13.23 / $27.10	Facility		$13.23	$13.23	$27.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $28.89 / $55.97	Professional		$19.78	$28.89	$55.97
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $42.92 / $55.98	Professional		$21.70	$42.92	$55.98