Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.02 / $132.02 / $132.02	Professional		$132.02	$132.02	$132.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $66.45	Facility		$66.45	$66.45	$66.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $66.45 / $68.45	Professional		$56.49	$66.45	$68.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.67 / $62.82 / $92.62	Facility		$45.67	$62.82	$92.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $102.47 / $136.59	Professional		$13.68	$102.47	$136.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $87.79 / $88.19	Professional		$12.34	$87.79	$88.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.10 / $63.45 / $91.57	Facility		$47.10	$63.45	$91.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $66.45 / $68.45	Professional		$56.49	$66.45	$68.45
United Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $120.03 / $238.59	Professional		$62.62	$120.03	$238.59