Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $116.46 / $116.46	Professional		$55.39	$116.46	$116.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $55.25 / $66.95	Professional		$55.25	$55.25	$66.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $60.16 / $60.16	Facility		$60.16	$60.16	$60.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $103.30 / $163.11	Professional		$82.76	$103.30	$163.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.14 / $86.14 / $107.27	Facility		$86.14	$86.14	$107.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $106.95 / $232.50	Professional		$81.59	$106.95	$232.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $60.16 / $86.14	Facility		$60.16	$60.16	$86.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $86.14 / $132.59	Professional		$55.25	$86.14	$132.59
United Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $55.91 / $139.77	Professional		$55.80	$55.91	$139.77