Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $18.77 / $18.77	Professional		$18.77	$18.77	$18.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Facility		$10.09	$10.09	$10.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $14.28	Professional		$10.09	$10.09	$14.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $18.77 / $26.84	Facility		$10.61	$18.77	$26.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $15.26	Professional		$10.09	$10.09	$15.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $62.40 / $3,495.87	Facility		$17.98	$62.40	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $42.90 / $46.80	Professional		$17.98	$42.90	$46.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $18.77 / $78.00	Facility		$10.09	$18.77	$78.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $14.84 / $48.69	Professional		$10.09	$14.84	$48.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $30.27	Professional		$15.14	$15.14	$30.27