Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $165.96 / $165.96	Professional		$53.70	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $45.71	Professional		$38.02	$44.67	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $64.57 / $245.47	Facility		$15.49	$64.57	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $154.88 / $524.81	Professional		$64.57	$154.88	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $15.49 / $154.88	Facility		$5.89	$15.49	$154.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.95 / $154.88	Professional		$11.22	$19.95	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.90 / $51.29	Facility		$25.70	$38.90	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $117.49	Professional		$38.02	$44.67	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $19.50 / $45.71	Facility		$2.63	$19.50	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $416.87	Professional		$79.43	$151.36	$416.87