Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $56.23 / $120.23	Professional		$26.92	$56.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $61.66	Professional		$43.65	$43.65	$61.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $87.10 / $87.10	Facility		$25.70	$87.10	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $295.12	Professional		$58.88	$91.20	$295.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $87.10 / $91.20	Facility		$77.62	$87.10	$91.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $109.65	Professional		$70.79	$87.10	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $93.33	Facility		$25.70	$25.70	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $85.11	Professional		$43.65	$60.26	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $63.10	Facility		$45.71	$45.71	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $85.11 / $194.98	Professional		$44.67	$85.11	$194.98