Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.12 / $165.12 / $165.12	Professional		$165.12	$165.12	$165.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $81.62	Facility		$81.62	$81.62	$81.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $81.62 / $84.07	Professional		$69.38	$81.62	$84.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.98 / $78.66 / $117.52	Facility		$57.98	$78.66	$117.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $130.08 / $173.41	Professional		$17.36	$130.08	$173.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $19.53 / $269.02	Professional		$14.51	$19.53	$269.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.03 / $79.76 / $116.19	Facility		$59.03	$79.76	$116.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $81.62 / $84.07	Professional		$69.38	$81.62	$84.07
United Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $150.13 / $302.89	Professional		$78.33	$150.13	$302.89