Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $52.24 / $52.24	Professional		$52.24	$52.24	$52.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Facility		$27.30	$27.30	$27.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $23.21 / $23.21	Professional		$23.21	$23.21	$23.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $22.03 / $33.57	Facility		$14.78	$22.03	$33.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $35.64 / $49.90	Professional		$4.76	$35.64	$49.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $40.20 / $106.53	Professional		$4.88	$40.20	$106.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $22.36 / $33.57	Facility		$16.14	$22.36	$33.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $23.21 / $23.21	Professional		$23.21	$23.21	$23.21
United Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $47.71 / $82.81	Professional		$24.12	$47.71	$82.81