Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.08 / $172.08 / $172.08	Professional		$172.08	$172.08	$172.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $57.76	Facility		$57.76	$57.76	$57.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $59.49	Professional		$49.10	$57.76	$59.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $78.89 / $121.16	Facility		$52.07	$78.89	$121.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $135.00 / $180.00	Professional		$14.92	$135.00	$180.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $108.45 / $150.51	Professional		$15.30	$108.45	$150.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.31 / $74.25 / $119.50	Facility		$56.31	$74.25	$119.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $59.49	Professional		$49.10	$57.76	$59.49
United Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $147.60 / $314.39	Professional		$77.01	$147.60	$314.39