Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $32.36	Professional		$19.95	$21.88	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $21.88	Professional		$15.49	$15.49	$21.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $32.36 / $36.31	Facility		$10.96	$32.36	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $123.03	Professional		$32.36	$38.02	$123.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $36.31 / $38.02	Facility		$32.36	$36.31	$38.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $37.15	Professional		$29.51	$36.31	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $40.74	Facility		$10.96	$10.96	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $27.54 / $60.26	Professional		$15.49	$27.54	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $19.95	Facility		$16.98	$16.98	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $93.33	Professional		$18.20	$32.36	$93.33