Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $55.64 / $55.64	Professional		$55.64	$55.64	$55.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Facility		$29.91	$29.91	$29.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $42.33	Professional		$29.91	$29.91	$42.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $55.64 / $77.90	Facility		$30.70	$55.64	$77.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $39.95	Professional		$29.91	$29.91	$39.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $97.39 / $3,495.87	Facility		$46.18	$97.39	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $32.32 / $32.32	Professional		$32.32	$32.32	$32.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $55.64 / $97.39	Facility		$29.91	$55.64	$97.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $36.60 / $38.38	Professional		$29.91	$36.60	$38.38
United Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $44.87 / $89.73	Professional		$44.87	$44.87	$89.73