Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $65.36 / $65.36	Professional		$65.36	$65.36	$65.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $40.36	Facility		$40.36	$40.36	$40.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $40.36 / $41.57	Professional		$34.31	$40.36	$41.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $36.13 / $51.72	Facility		$21.52	$36.13	$51.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $45.43 / $60.62	Professional		$5.98	$45.43	$60.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $51.65 / $120.13	Professional		$6.13	$51.65	$120.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.38 / $36.53 / $51.13	Facility		$25.38	$36.53	$51.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $40.36 / $41.57	Professional		$34.31	$40.36	$41.57
United Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $64.56 / $108.47	Professional		$30.99	$64.56	$108.47