Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $66.39 / $66.39	Professional		$66.39	$66.39	$66.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $38.83	Facility		$37.70	$37.70	$38.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.04 / $38.83	Professional		$28.46	$32.04	$38.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $66.26 / $104.63	Professional		$66.26	$66.26	$104.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.08 / $61.08 / $68.12	Facility		$61.08	$61.08	$68.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $68.12 / $140.47	Professional		$55.19	$68.12	$140.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $39.52	Facility		$19.09	$19.09	$39.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $55.41 / $86.31	Professional		$32.04	$55.41	$86.31
United Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $66.70 / $121.80	Professional		$34.79	$66.70	$121.80