Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $89.13	Professional		$67.61	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $56.23	Professional		$46.77	$54.95	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $63.10 / $87.10	Facility		$8.51	$63.10	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $288.40	Professional		$81.28	$85.11	$288.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $8.51 / $85.11	Facility		$7.41	$8.51	$85.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $16.22 / $85.11	Professional		$7.41	$16.22	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $69.18	Facility		$34.67	$50.12	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $95.50	Professional		$46.77	$60.26	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $27.54 / $63.10	Facility		$3.63	$27.54	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $151.36	Professional		$42.66	$81.28	$151.36