Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $57.71 / $57.71	Professional		$57.71	$57.71	$57.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $29.99	Facility		$29.99	$29.99	$29.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $29.99 / $30.89	Professional		$25.49	$29.99	$30.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $27.29 / $40.03	Facility		$18.85	$27.29	$40.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $41.77 / $55.38	Professional		$5.25	$41.77	$55.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $40.68 / $110.00	Professional		$5.39	$40.68	$110.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $27.47 / $39.58	Facility		$19.66	$27.47	$39.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $29.99 / $30.89	Professional		$25.49	$29.99	$30.89
United Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $15.75 / $32.24	Facility		$2.10	$15.75	$32.24
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $52.03 / $95.00	Professional		$27.14	$52.03	$95.00