Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $134.97 / $134.97	Professional		$134.97	$134.97	$134.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $73.97 / $73.97	Facility		$73.97	$73.97	$73.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $73.97 / $76.19	Professional		$62.87	$73.97	$76.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.08 / $65.68 / $98.36	Facility		$44.08	$65.68	$98.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $98.04 / $130.62	Professional		$12.43	$98.04	$130.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $90.14 / $257.50	Professional		$10.30	$90.14	$257.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.29 / $68.54 / $97.24	Facility		$48.29	$68.54	$97.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $73.97 / $76.19	Professional		$62.87	$73.97	$76.19
United Facility/Professional Professional Modifier Low / Median / High Price $63.49 / $121.68 / $222.20	Professional		$63.49	$121.68	$222.20