Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $84.51 / $84.51	Professional		$84.51	$84.51	$84.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $33.33	Facility		$33.33	$33.33	$33.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $34.33	Professional		$28.33	$33.33	$34.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $28.94 / $43.38	Facility		$18.82	$28.94	$43.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $57.67 / $105.78	Professional		$7.70	$57.67	$105.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $4.54 / $99.88	Professional		$3.95	$4.54	$99.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $30.00 / $42.88	Facility		$20.66	$30.00	$42.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $34.33	Professional		$28.33	$33.33	$34.33
United Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $76.94 / $140.49	Professional		$40.14	$76.94	$140.49