Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.31 / $142.31 / $142.31	Professional		$142.31	$142.31	$142.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $74.67	Facility		$74.67	$74.67	$74.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $74.67 / $76.91	Professional		$63.47	$74.67	$76.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $66.97 / $97.64	Facility		$46.31	$66.97	$97.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $102.50 / $137.22	Professional		$13.05	$102.50	$137.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $13.31 / $288.85	Professional		$11.16	$13.31	$288.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.95 / $67.78 / $96.53	Facility		$47.95	$67.78	$96.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $74.67 / $76.91	Professional		$63.47	$74.67	$76.91
United Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $128.28 / $234.26	Professional		$66.93	$128.28	$234.26