Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $58.30 / $58.30	Professional		$58.30	$58.30	$58.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Facility		$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $35.11 / $36.15	Professional		$29.84	$35.11	$36.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.77 / $31.72 / $45.41	Facility		$19.77	$31.72	$45.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $43.96 / $55.94	Professional		$5.32	$43.96	$55.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $47.74 / $110.00	Professional		$4.66	$47.74	$110.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $32.03 / $44.89	Facility		$22.29	$32.03	$44.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $35.11 / $36.15	Professional		$29.84	$35.11	$36.15
United Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $52.98 / $96.75	Professional		$27.64	$52.98	$96.75