Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $23.92 / $23.92	Professional		$23.92	$23.92	$23.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Facility		$12.86	$12.86	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $18.20	Professional		$12.86	$12.86	$18.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $23.92 / $33.49	Facility		$14.48	$23.92	$33.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $16.72	Professional		$12.86	$12.86	$16.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.86 / $30.42 / $3,495.87	Facility		$22.86	$30.42	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $16.01 / $16.01	Professional		$16.01	$16.01	$16.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $23.92 / $33.49	Facility		$12.86	$23.92	$33.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $16.30 / $18.94	Professional		$12.86	$16.30	$18.94
United Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $19.29 / $38.58	Professional		$18.00	$19.29	$38.58