Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $113.60 / $113.60	Professional		$113.60	$113.60	$113.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $57.54 / $59.27	Professional		$48.91	$57.54	$59.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.34 / $52.55 / $78.06	Facility		$36.34	$52.55	$78.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $80.94 / $109.57	Professional		$10.44	$80.94	$109.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $89.05 / $230.55	Professional		$10.63	$89.05	$230.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $53.06 / $77.19	Facility		$38.15	$53.06	$77.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $57.54 / $59.27	Professional		$48.91	$57.54	$59.27
United Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $102.41 / $187.01	Professional		$52.96	$102.41	$187.01