Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $111.72 / $111.72	Professional		$111.72	$111.72	$111.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $28.34	Facility		$28.34	$28.34	$28.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $24.09 / $24.09	Professional		$24.09	$24.09	$24.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $24.65 / $36.04	Facility		$17.62	$24.65	$36.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $76.20 / $106.95	Professional		$10.16	$76.20	$106.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $40.90 / $132.03	Professional		$10.43	$40.90	$132.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $24.94 / $35.64	Facility		$18.10	$24.94	$35.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $24.09 / $24.09	Professional		$24.09	$24.09	$24.09
United Facility/Professional Professional Modifier Low / Median / High Price $52.91 / $52.91 / $177.28	Professional		$52.91	$52.91	$177.28