Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $100.00	Professional		$25.70	$28.18	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $38.02	Professional		$26.92	$26.92	$38.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $29.51 / $70.79	Facility		$26.92	$29.51	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $512.86	Professional		$141.25	$302.00	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $64.57 / $177.83	Facility		$34.67	$64.57	$177.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $97.72	Professional		$81.28	$89.13	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $42.66 / $165.96	Facility		$18.20	$42.66	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $125.89	Professional		$37.15	$60.26	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $338.84	Professional		$95.50	$190.55	$338.84