Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $114.06 / $114.06	Professional		$114.06	$114.06	$114.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $64.23	Facility		$64.23	$64.23	$64.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $63.45 / $90.70	Facility		$63.45	$63.45	$90.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $103.96 / $164.15	Professional		$84.48	$103.96	$164.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $20.07 / $200.80	Professional		$8.02	$20.07	$200.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $63.45 / $90.70	Facility		$63.45	$63.45	$90.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
United Facility/Professional Professional Modifier Low / Median / High Price $54.09 / $103.67 / $196.98	Professional		$54.09	$103.67	$196.98