Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.89 / $88.89 / $88.89	Professional		$88.89	$88.89	$88.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $46.80	Facility		$46.80	$46.80	$46.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $46.80 / $48.20	Professional		$39.78	$46.80	$48.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $45.61 / $67.59	Facility		$30.48	$45.61	$67.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $63.69 / $84.90	Professional		$8.06	$63.69	$84.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $10.50 / $181.23	Professional		$6.83	$10.50	$181.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $46.80 / $67.19	Facility		$33.54	$46.80	$67.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $46.80 / $48.20	Professional		$39.78	$46.80	$48.20
United Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $81.19 / $140.88	Professional		$42.36	$81.19	$140.88