Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $100.24 / $100.24	Professional		$100.24	$100.24	$100.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $73.04	Facility		$73.04	$73.04	$73.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $73.04 / $75.23	Professional		$62.08	$73.04	$75.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $62.14 / $99.64	Facility		$45.44	$62.14	$99.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $90.95 / $96.52	Professional		$9.07	$90.95	$96.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $79.61 / $192.83	Professional		$7.70	$79.61	$192.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $67.58 / $98.51	Facility		$47.13	$67.58	$98.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $73.04 / $75.23	Professional		$62.08	$73.04	$75.23
United Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $34.56 / $77.41	Facility		$4.84	$34.56	$77.41
United Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $91.55 / $167.18	Professional		$47.77	$91.55	$167.18