Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $121.41 / $121.41	Professional		$121.41	$121.41	$121.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $60.80	Facility		$60.80	$60.80	$60.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $60.80 / $62.62	Professional		$51.68	$60.80	$62.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $58.39 / $84.21	Facility		$42.90	$58.39	$84.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $93.82 / $126.20	Professional		$12.62	$93.82	$126.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $80.23 / $200.58	Professional		$10.55	$80.23	$200.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $59.02 / $83.25	Facility		$43.06	$59.02	$83.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $60.80 / $62.62	Professional		$51.68	$60.80	$62.62
United Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $119.99 / $220.44	Professional		$57.59	$119.99	$220.44