Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $85.11	Professional		$28.18	$33.88	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $31.62	Professional		$21.88	$21.88	$31.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $95.50 / $95.50	Facility		$15.49	$95.50	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $173.78	Professional		$54.95	$95.50	$173.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $95.50 / $100.00	Facility		$50.12	$95.50	$100.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $97.72	Professional		$77.62	$95.50	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $64.57	Facility		$15.49	$15.49	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $60.26	Professional		$21.88	$41.69	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $35.48	Facility		$31.62	$31.62	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $114.82	Professional		$35.48	$48.98	$114.82