Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $12.41 / $12.41	Professional		$12.41	$12.41	$12.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Facility		$28.37	$28.37	$28.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $28.37 / $30.25	Professional		$20.71	$28.37	$30.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $6.11 / $6.11	Facility		$6.11	$6.11	$6.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $17.57	Professional		$12.30	$12.30	$17.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $6.11 / $17.37	Facility		$6.11	$6.11	$17.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $28.37 / $30.25	Professional		$17.57	$28.37	$30.25
United Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $35.70 / $35.70	Facility		$8.00	$35.70	$35.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $17.17 / $22.40	Professional		$8.96	$17.17	$22.40