Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.64 / $171.64 / $171.64	Professional		$171.64	$171.64	$171.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $94.65	Facility		$94.65	$94.65	$94.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $94.65 / $97.49	Professional		$80.45	$94.65	$97.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $84.89 / $123.74	Facility		$55.10	$84.89	$123.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $124.57 / $166.12	Professional		$15.80	$124.57	$166.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $131.00 / $327.50	Professional		$16.04	$131.00	$327.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $86.75 / $122.33	Facility		$60.46	$86.75	$122.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $94.65 / $97.49	Professional		$80.45	$94.65	$97.49
United Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $154.74 / $282.58	Professional		$80.73	$154.74	$282.58