Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $51.29	Professional		$33.11	$41.69	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $37.15	Professional		$25.12	$25.12	$37.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $51.29 / $57.54	Facility		$17.78	$51.29	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $181.97	Professional		$57.54	$57.54	$181.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $60.26	Facility		$51.29	$57.54	$60.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $58.88	Professional		$46.77	$57.54	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $60.26	Facility		$17.78	$17.78	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $60.26	Professional		$25.12	$43.65	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $41.69	Facility		$36.31	$36.31	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.51 / $134.90	Professional		$28.18	$29.51	$134.90