Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $36.22	Professional		$36.22	$36.22	$36.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $27.56	Professional		$19.48	$19.48	$27.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $36.22 / $50.72	Facility		$19.48	$36.22	$50.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $19.48 / $48.70	Professional		$19.48	$19.48	$48.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $48.00 / $3,495.87	Facility		$42.00	$48.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $33.00 / $36.00	Professional		$25.50	$33.00	$36.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $36.22 / $50.72	Facility		$19.48	$36.22	$50.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $30.05 / $37.50	Professional		$19.48	$30.05	$37.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $29.22 / $58.44	Professional		$29.22	$29.22	$58.44