Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $121.97 / $121.97	Professional		$121.97	$121.97	$121.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $63.96	Professional		$52.79	$62.10	$63.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.77 / $76.53 / $121.03	Facility		$44.77	$76.53	$121.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $110.67 / $138.85	Professional		$38.49	$110.67	$138.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $96.87 / $144.13	Professional		$32.64	$96.87	$144.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $75.12 / $119.66	Facility		$51.30	$75.12	$119.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $63.96	Professional		$52.79	$62.10	$63.96
United Facility/Professional Professional Modifier Low / Median / High Price $58.12 / $58.12 / $193.33	Professional		$58.12	$58.12	$193.33