Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.51 / $162.51 / $162.51	Professional		$162.51	$162.51	$162.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $81.17 / $81.17	Facility		$81.17	$81.17	$81.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $81.17 / $83.61	Professional		$68.98	$81.17	$83.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $77.77 / $114.86	Facility		$57.57	$77.77	$114.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $127.00 / $169.30	Professional		$16.94	$127.00	$169.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $123.14 / $267.70	Professional		$15.18	$123.14	$267.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $79.19 / $113.55	Facility		$59.00	$79.19	$113.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $81.17 / $83.61	Professional		$68.98	$81.17	$83.61
United Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $147.75 / $295.70	Professional		$77.09	$147.75	$295.70