Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $120.45 / $120.45	Professional		$120.45	$120.45	$120.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $66.38	Facility		$66.38	$66.38	$66.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $66.38 / $68.37	Professional		$56.42	$66.38	$68.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $59.31 / $86.64	Facility		$40.75	$59.31	$86.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $90.56 / $114.77	Professional		$10.98	$90.56	$114.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $102.01 / $221.23	Professional		$11.26	$102.01	$221.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.55 / $59.95 / $85.66	Facility		$42.55	$59.95	$85.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $66.38 / $68.37	Professional		$56.42	$66.38	$68.37
United Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $109.46 / $200.48	Professional		$57.11	$109.46	$200.48