Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Facility		$11.88	$11.88	$11.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $16.82	Professional		$11.88	$11.88	$16.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $22.10 / $30.94	Facility		$11.70	$22.10	$30.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $11.88 / $17.43	Professional		$11.88	$11.88	$17.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $21.60 / $38.22	Facility		$13.98	$21.60	$38.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $14.85 / $16.20	Professional		$12.75	$14.85	$16.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $22.10 / $31.60	Facility		$11.88	$22.10	$31.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $14.71 / $16.20	Professional		$11.88	$14.71	$16.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $17.82 / $36.15	Professional		$17.82	$17.82	$36.15