Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $163.59 / $163.59	Professional		$163.59	$163.59	$163.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $88.16	Facility		$88.16	$88.16	$88.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $90.80	Professional		$74.94	$88.16	$90.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $78.20 / $117.35	Facility		$52.45	$78.20	$117.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $118.59 / $157.00	Professional		$15.05	$118.59	$157.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $109.26 / $312.50	Professional		$12.58	$109.26	$312.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $78.97 / $116.01	Facility		$57.00	$78.97	$116.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $90.80	Professional		$74.94	$88.16	$90.80
United Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $147.49 / $269.33	Professional		$76.95	$147.49	$269.33