Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.36 / $105.36 / $105.36	Professional		$105.36	$105.36	$105.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $55.97 / $55.97	Facility		$55.97	$55.97	$55.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $55.97 / $57.65	Professional		$47.57	$55.97	$57.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.93 / $51.46 / $76.89	Facility		$36.93	$51.46	$76.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $77.97 / $104.00	Professional		$10.44	$77.97	$104.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $70.37 / $74.33	Professional		$9.86	$70.37	$74.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $51.65 / $76.01	Facility		$37.76	$51.65	$76.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $55.97 / $57.65	Professional		$47.57	$55.97	$57.65
United Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $95.76 / $174.87	Professional		$49.96	$95.76	$174.87