Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $23.24	Professional		$23.24	$23.24	$23.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $17.68	Professional		$12.49	$12.49	$17.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $23.24 / $32.54	Facility		$12.38	$23.24	$32.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $16.89	Professional		$12.49	$12.49	$16.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $24.00 / $38.22	Facility		$13.98	$24.00	$38.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $16.50 / $18.00	Professional		$13.19	$16.50	$18.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $23.24 / $33.22	Facility		$12.49	$23.24	$33.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $15.13 / $18.00	Professional		$12.49	$15.13	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $18.73 / $37.47	Professional		$18.73	$18.73	$37.47