Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $34.67	Professional		$21.88	$23.99	$34.67
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 $12.02 / $34.67 / $38.90	Facility		$12.02	$34.67	$38.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $131.83	Professional		$33.88	$40.74	$131.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $39.81 / $40.74	Facility		$35.48	$39.81	$40.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $40.74	Professional		$32.36	$39.81	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $40.74	Facility		$12.02	$12.02	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $60.26	Professional		$16.98	$30.20	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $21.38	Facility		$18.20	$18.20	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.20 / $100.00	Professional		$19.50	$30.20	$100.00